McLean Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

002414 Issued in TX

Legal business name

MCLEAN HOME HEALTH AGENCY, INC.

Practice address

603 N. Grove St.
McLean, TX 79057-0047

Phone

(806) 779-2485

Fax

(806) 779-2690

NPI assigned

Jul 20, 2006

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan R Fish

Title

Ceo/Administrator

Phone

(806) 779-2485

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1801816418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "MCLEAN",
            "state": "TX",
            "postal_code": "790570047",
            "telephone_number": "806-779-2485",
            "fax_number": "806-779-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N. GROVE ST.",
            "city": "MCLEAN",
            "state": "TX",
            "postal_code": "790570047",
            "telephone_number": "806-779-2485",
            "fax_number": "806-779-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "806-779-2485"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERT OF WAIVER",
            "identifier": "45D0887380",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247140",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130387",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apollo Leasing LLC (Mclean Care Center)
• McLean Care Center Inc.
• McLean EMS
• McLean I Enterprises, LLC (McLean Care Center)
• McLean Isd

• Home Health Agency in McLean, TX
• Providers in McLean, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.