McCluney's Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MCCLUNEY'S FAMILY CARE HOME

Practice address

837 W Warren St
Shelby, NC 28150-5064

Phone

(704) 406-9721

Fax

(704) 406-9721

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By 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

Andre Latresia Peak McCluney, SOCIAL WORKER

Title

Administrator

Phone

(704) 406-9721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1245684711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2117",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281512117",
            "telephone_number": "704-406-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505064",
            "telephone_number": "704-406-9721",
            "fax_number": "704-406-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLUNEY'S FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "PEAK MCCLUNEY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LATRESIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-406-9721",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Jonah Mayl, MD
• MC3 Enterprise LLC
• Sarah McBride, PT
• Jazzmire McCain-Harris, LCSWA
• Bria McCloud
• Charlene Padgett Shearon McCraw, NP
• William McCullough, LCSW
• Robert Andrew McCully Jr., D.MIN., LPCS, LCAS
• Nina L. McCurry, L.C.A.S.
• Thea McCurry

• Adult Care Home Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.