Active NPI
Shaun Clinkinbeard
- Home Health Aide
- Auburn, CA
National Provider Identifier
1356746283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 26692 Table Meadow Rd
Auburn, CA 95602-8960 - Phone
- (530) 268-7423
- Fax
- (530) 586-3603
- NPI assigned
- Nov 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
26692 Table Meadow Rd
Auburn, CA 95602-8960
Mailing address
26692 Table Meadow Rd
Auburn, CA 95602-8960
Phone (530) 268-7423
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Care Hospice, LLC | Current | Accepting new patients | |
| Partners in Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Auburn, CA
- NPI 1225433154
-
- Community Based Hospice Care Agency
- Auburn, CA
- NPI 1518476845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1356746283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26692 TABLE MEADOW RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956028960",
"telephone_number": "530-268-7423",
"fax_number": "530-586-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26692 TABLE MEADOW RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956028960",
"telephone_number": "530-268-7423",
"fax_number": "530-586-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINKINBEARD",
"first_name": "SHAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.