Active NPI
Holly Lynn McClain
- Home Health Agency
- Pensacola, FL
National Provider Identifier
1396402954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- L21000489847
- Practice address
- 4470 Spanish TRL Apt 60
Pensacola, FL 32504-4906 - Phone
- (850) 686-1359
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | L21000489847 | FL | Primary |
Addresses
Primary practice location
4470 Spanish TRL Apt 60
Pensacola, FL 32504-4906
Mailing address
4470 Spanish TRL Apt 60
Pensacola, FL 32504-4906
Phone (850) 686-1359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L21000489847 | Other | FL | BUSINESS LICENSE |
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 |
|---|---|---|---|
| L21000489847 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1396402954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 SPANISH TRL APT 60",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044906",
"telephone_number": "850-686-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 SPANISH TRL APT 60",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044906",
"telephone_number": "850-686-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "HOLLY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "L21000489847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS LICENSE",
"identifier": "L21000489847",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.