C & C House Care LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

C & C HOUSE CARE LLC

Doing business as

TruBlue House Care of Vienna

Practice address

10516 Samaga Dr
Oakton, VA 22124-1630

Phone

(703) 989-4197

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Hendricks

Title

Managing Member

Phone

(703) 319-0959

Specialties & licenses 1

Addresses

Other names 1

• TruBlue House Care of Vienna Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1881324432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 SAMAGA DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241630",
            "telephone_number": "703-989-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 SAMAGA DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241630",
            "telephone_number": "703-989-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C HOUSE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "703-319-0959"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruBlue House Care of Vienna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arianne Bozarth, CNS
• Kristine D Brook, FNP-BC
• Sarah Brooks, ATC, VATL
• Erinn Burakow
• Clarenz Bustamante
• Capital Area Pediatrics, Inc
• John Gordon Capps, PSYD
• Gregory Michael Carrigan, LGSW
• George Michael Casey, DMD
• Todd M Casey, DDS

• Home Modifications Contractor in Oakton, VA
• Providers in Oakton, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.