Kim McClenton

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

859 Chapman Cir
Stone Mountain, GA 30088-2553

Phone

(404) 201-9075

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R&K Medical Transportation Services. LLC

  • In Home Supportive Care Agency
  • Grayson, GA
  • NPI 1669299327
  NPD Authorized official

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1629577846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 CHAPMAN CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882553",
            "telephone_number": "404-201-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 CHAPMAN CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882553",
            "telephone_number": "404-201-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENTON",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frenny K Mathew
• Joseph D Matthews Jr.
• Maximum Care Transportation LLC
• Maximum Life Health Center, Inc.
• Jill D Mays, MS, MAC, LPC
• Richard Kyle McCranie
• Stephanie Patrice McCray
• Margaret N McDaniell, CRNA
• Tessa McDonnell, FNP-BC
• James Myrick McGee I, D.M.D.

• In Home Supportive Care Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.