NPIMap

Organization Active NPI

McClain's Supportive Services

  • Developmentally Disabled Services Day Training Agency
  • Parkton, NC
National Provider Identifier
1760816052
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2014-8545 Issued in NC
Legal business name
MCCLAIN'S SUPPORTIVE SERVICES
Practice address
1410 Seabiscuit Dr
Parkton, NC 28371-7702
Phone
(910) 978-6548
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mrs. Fatima Nicole McClain
Title
Owner
Phone
(910) 978-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2014-8545 NC Primary

Addresses

Primary practice location

1410 Seabiscuit Dr
Parkton, NC 28371-7702

Mailing address

1410 Seabiscuit Dr
Parkton, NC 28371-7702
Phone (910) 978-6548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1760816052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SEABISCUIT DR",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283717702",
            "telephone_number": "910-978-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SEABISCUIT DR",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283717702",
            "telephone_number": "910-978-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN'S SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-978-6548",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "2014-8545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.