Active NPI
John A McLendon
- In Home Supportive Care Agency
- Columbus, OH
National Provider Identifier
1235726191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 2573301
- Practice address
- 6281 Marsh Wren Dr
Columbus, OH 43230-6533 - Phone
- (330) 354-4531
- NPI assigned
- Dec 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 2573301 | OH | |
| Supports Brokerage Agency | 251X00000X | 2573301 | OH | |
| Non-emergency Medical Transport (VAN) | 343900000X | 2573301 | OH | |
| Private Vehicle | 347C00000X | 2573301 | OH | |
| Adult Companion | 372600000X | 2573301 | OH | |
| Personal Care Attendant | 3747P1801X | 2573301 | OH | |
| In Home Supportive Care Agency | 253Z00000X | 2573301 | OH | Primary |
Addresses
Primary practice location
6281 Marsh Wren Dr
Columbus, OH 43230-6533
Mailing address
6281 Marsh Wren Dr
Columbus, OH 43230-6533
Phone (330) 354-4531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0321776 | Medicaid | OH | |
| 2573301 | Other | OH | OHIO DODD CONTRACT NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2573301 | OH | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1235726191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6281 MARSH WREN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306533",
"telephone_number": "330-354-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6281 MARSH WREN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432306533",
"telephone_number": "330-354-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENDON",
"first_name": "JOHN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "2573301",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "2573301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0321776",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DODD CONTRACT NUMBER",
"identifier": "2573301",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.