McLennan Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MCLENNAN HOME

Practice address

12325 McLennan Ave
Granada Hills, CA 91344-1716

Phone

(818) 886-3172

Fax

(747) 300-9108

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Roy L Martin II

Title

President

Phone

(323) 253-5316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1558747451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 MCLENNAN AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441716",
            "telephone_number": "818-886-3172",
            "fax_number": "747-300-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 MCLENNAN AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441716",
            "telephone_number": "818-886-3172",
            "fax_number": "747-300-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLENNAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-253-5316",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McBean Enterprises Incorporated
• McBean Enterprises Incorporated
• Rachel McCarthy-Moya
• McCrae & Rodgers
• McLennan Avenue Home
• Agnieszka Medina, LCSW
• Rosa Medina
• Cynthia Vanessa Medrano
• Medride Transport, LLC
• Medwheelz Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.