NPIMap

Organization Active NPI

McClain's Residential Home Care Agency, LLC

  • Respite Care
  • Charlotte, NC
National Provider Identifier
1366998288
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
HC4845 Issued in NC
Legal business name
MCCLAIN'S RESIDENTIAL HOME CARE AGENCY, LLC
Practice address
5801 Executive Center Dr Ste 102
Charlotte, NC 28212-8895
Phone
(980) 207-3006
Fax
(980) 430-3225
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. Patrick O. McClain Sr.
Title
Owner/ Director
Phone
(980) 207-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X HC4845 NC Primary

Addresses

Primary practice location

5801 Executive Center Dr Ste 102
Charlotte, NC 28212-8895

Mailing address

5801 Executive Center Dr Ste 102
Charlotte, NC 28212-8895
Phone (980) 207-3006

National Provider Directory

National Provider Directory
Tax ID family
McClain's Family Care Home 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1366998288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128895",
            "telephone_number": "980-207-3006",
            "fax_number": "980-430-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128895",
            "telephone_number": "980-207-3006",
            "fax_number": "980-430-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN'S RESIDENTIAL HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "980-207-3006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.