MEDICARE: J&C HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	261QP2300X	Primary Care Clinic/Center
3	3747P1801X	Personal Care Attendant
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558919886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&C HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	25284 PLANTING FIELD DR
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-4459
Country	:	US
Telephone Number	:	203-823-8136
Fax Number	:

Provider Business Practice Location Address
First Line	:	10329 DEMOCRACY LN STE B
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-2559
Country	:	US
Telephone Number	:	703-682-2197
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LEILING CHEN
Credential	:
Telephone Number	:	703-682-2197

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	09/01/2022

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Directions to “J&C HEALTHCARE LLC ” Practice Location

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