McCollum Health Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MCCOLLUM HEALTH SERVICES

Practice address

616 The Pkwy
Richland, WA 99352-4233

Phone

(509) 380-8479

Fax

(509) 413-0845

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mandy L McCollum, RNNPI 1437945151

Title

Owner

Phone

(509) 380-8479

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Senior Helpers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandy L McCollum, RN

  • Adult Day Care Clinic/Center
  • Kennewick, WA
  • NPI 1437945151
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1487246716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 THE PKWY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524233",
            "telephone_number": "509-380-8479",
            "fax_number": "509-413-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 THE PKWY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524233",
            "telephone_number": "509-380-8479",
            "fax_number": "509-413-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOLLUM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-380-8479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "60364066",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Esther McCarthy, CCCSLP
• Caitlyn McCartney, PT
• Katrina Lynn McCauley, DNP, ARNP, CDCES
• Kyle Allen McClain
• Derek Scott McClelland
• Daniel McCook, PT
• Jon T. McCoy, MD
• Jennifer Marie McCullugh
• Jocelyn Rene McElderry, COTA
• Alece Michelle McFerran, ARNP

• In Home Supportive Care Agency in Richland, WA
• Providers in Richland, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.