Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COMMUNITY CARE COORDINATION LLC
NPI 1184567562
Nurse Practitioner - Family in Colfax, NC

Active since April 10, 2026
2193 DRAGONFLY LN, COLFAX, NC 27235(336) 298-2168 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Apr 10, 2026 (2 updates tracked since 2026).

About Community Care Coordination Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE COORDINATION LLC (NPI 1184567562) is a healthcare organization registered as a family in Colfax, North Carolina and active in the NPI registry since April 2026. The organization lists Letonya Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1184567562
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMMUNITY CARE COORDINATION LLC
Location Address2193 DRAGONFLY LNColfax, NC 27235-9841
Mailing Address2193 Dragonfly LnColfax, NC 27235-9841 · (336) 298-2168
Organization SubpartNo
Authorized OfficialLetonya ShawOwner · (336) 298-2168
Enumeration DateApril 10, 2026
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1184567562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2193 DRAGONFLY LN, Colfax, NC 27235

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Care Coordination LLC's NPI number?

The NPI number for Community Care Coordination LLC is 1184567562. It was assigned to this organization in the NPPES registry on April 10, 2026.

Where is Community Care Coordination LLC located?

Community Care Coordination LLC is located at 2193 Dragonfly Ln, Colfax, NC 27235. The listed phone number is (336) 298-2168.

What is Community Care Coordination LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Community Care Coordination LLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.