Leonora McClelland-Sandridge

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

S536-5335-6602 Issued in IL

Practice address

14504 Green St
Harvey, IL 60426-1828

Phone

(708) 339-2490

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1619403623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 GREEN ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261828",
            "telephone_number": "708-339-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 GREEN ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261828",
            "telephone_number": "708-339-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND-SANDRIDGE",
        "first_name": "LEONORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "S536-5335-6602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Steven Marinko, M.D.
• Martin G Luken III MD SC
• Donna Martinek, CNS
• Rosemary Siroun Matossian, MD
• Shirley Ann McCann, RNC NP
• Bernice Lynette McLaurin, PHARMD
• Timothy Donald McManus, PSY.D.
• Latina McMillan
• Medcentrix Inc (Ingalls Proof Phcy)
• Medcentrix Inc (ingalls pro pharm 4)

• Home Health Agency in Harvey, IL
• Providers in Harvey, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.