Organization Active NPI

McClain Brown Signature Service Company

  • In Home Supportive Care Agency
  • Navarre, FL
National Provider Identifier
1154904852
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MCCLAIN BROWN SIGNATURE SERVICE COMPANY
Practice address
7523 Opal CT
Navarre, FL 32566-7881
Phone
(575) 359-5885
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Mr. James Ward McClain III
Title
President
Phone
(850) 586-1885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

7523 Opal CT
Navarre, FL 32566-7881

Mailing address

PO Box 5580
Navarre, FL 32566-0580
Phone (850) 586-1885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1154904852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5580",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325660580",
            "telephone_number": "850-586-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 OPAL CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667881",
            "telephone_number": "575-359-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN BROWN SIGNATURE SERVICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-586-1885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.