Organization Active NPI

Lena McClain Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hannibal, MO
National Provider Identifier
1841348612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LENA MCCLAIN GROUP HOME
Practice address
48955 Huntington LN
Hannibal, MO 63401-7326
Phone
(573) 406-0760
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen McClain
Title
Owner Administrator
Phone
(573) 406-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

48955 Huntington LN
Hannibal, MO 63401-7326

Mailing address

48955 Huntington LN
Hannibal, MO 63401-7326

National Provider Directory

National Provider Directory

Locations

48955 Huntington Ln
Hannibal, MO 63401
Phone (573) 406-0760

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841348612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48955 HUNTINGTON LN",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48955 HUNTINGTON LN",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017326",
            "telephone_number": "573-406-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENA MCCLAIN GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "573-406-0760"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.