Healthcare Provider Details

I. General information

NPI: 1083560262
Provider Name (Legal Business Name): C&C CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3544 FINISH LINE DR
GAINESVILLE VA
20155-1235
US

IV. Provider business mailing address

3544 FINISH LINE DR
GAINESVILLE VA
20155-1235
US

V. Phone/Fax

Practice location:
  • Phone: 571-395-3928
  • Fax:
Mailing address:
  • Phone: 571-395-3928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CANDACE GARCIA MEDINA
Title or Position: MEMBER
Credential:
Phone: 571-395-3928