Individual provider Active NPI

Christopher Paul McClintock

  • In Home Supportive Care Agency
  • Brentwood, TN
National Provider Identifier
1659085751
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000032203 Issued in TN
Practice address
212 Overlook Cir Ste 108
Brentwood, TN 37027-5396
Phone
(615) 942-8907
Fax
(615) 942-8946
NPI assigned
Jan 12, 2023
Reactivated
Feb 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000032203 TN Primary

Addresses

Primary practice location

212 Overlook Cir Ste 108
Brentwood, TN 37027-5396

Mailing address

212 Overlook Cir Ste 108
Brentwood, TN 37027-5396
Phone (615) 942-8907

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

LicenseStateTypeSpecialty
L000000032203TNMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Family Home Care LLC In Home Supportive Care CurrentSince Jan 29, 2023 Accepting new patients

Locations

212 Overlook Cir
Ste 108
Brentwood, TN 37027
Phone (615) 942-8907

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1659085751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OVERLOOK CIR STE 108",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275396",
            "telephone_number": "615-942-8907",
            "fax_number": "615-942-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OVERLOOK CIR STE 108",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275396",
            "telephone_number": "615-942-8907",
            "fax_number": "615-942-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2025-02-04",
        "certification_date": "2023-01-12",
        "deactivation_date": "2025-01-27",
        "reactivation_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000032203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.