Organization Active NPI

McLean Family Care Home

  • Adult Care Home Facility
  • Fayetteville, NC
National Provider Identifier
1124153382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL026040 Issued in NC
Legal business name
MCLEAN FAMILY CARE HOME
Practice address
6487 Pleasant Rd
Fayetteville, NC 28314-0552
Phone
(910) 263-0798
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Houston McLean
Title
Owner
Phone
(910) 263-0798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL026040 NC Primary

Addresses

Primary practice location

6487 Pleasant Rd
Fayetteville, NC 28314-0552

Mailing address

P. O. Box 2608
Fayetteville, NC 28314-2608
Phone (910) 263-0798

Other identifiers 1

IdentifierTypeStateIssuer
7803674MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124153382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 2608",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142608",
            "telephone_number": "910-263-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6487 PLEASANT RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140552",
            "telephone_number": "910-263-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "HOUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-263-0798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL026040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803674",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.