Kurtis McLendon

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2573275 Issued in OH

Practice address

6281 Marsh Wren Dr
Columbus, OH 43230-6533

Phone

(419) 961-5104

NPI assigned

Jul 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Kurtis Jewell Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kurtis.mclendon@doddprovider.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agentic Client Support Services LLC

  • In Home Supportive Care Agency
  • Columbus, OH
  • NPI 1033789177

  Driver

  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1265050330",
    "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": "419-961-5104"
        },
        {
            "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": "419-961-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENDON",
        "first_name": "KURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "2573275",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "OH",
            "license": "2573275",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "2573275",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "2573275",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "2573275",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "2573275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573275",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312797",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kurtis.mclendon@doddprovider.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6281 Marsh Wren Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432306533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kurtis.mclendon@doddprovider.com",
            "affiliation": "N",
            "address_1": "6281 Marsh Wren Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432306533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KURTIS",
            "last_name": "JEWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph McLean
• Tina Marie McLean, R.PH.
• Charles McLemore
• Scott Robert McLemore, DO
• John A McLendon
• Colette Arlene McLeod
• Daryl John McLeod, M.D.
• Dane Patrick McLoughlin, DO
• James D McMahan, MD
• Sarah Elizabeth McMahan, BSN, RN, FNP

• In Home Supportive Care Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.