McLean Family Care Home 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL009-006 Issued in NC

Legal business name

MCLEAN FAMILY CARE HOME 2

Practice address

83 Esterville Rd
Elizabethtown, NC 28337-6411

Phone

(910) 588-4619

Fax

(910) 588-6165

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Cora Lee

Title

Administrator

Phone

(910) 588-4619

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

McLean Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McLean Family Care Home

  • Adult Care Home Facility
  • Elizabethtown, NC
  • NPI 1790849693
  NPD tax ID

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841355070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ESTERVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283376411",
            "telephone_number": "910-588-4619",
            "fax_number": "910-588-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ESTERVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283376411",
            "telephone_number": "910-588-4619",
            "fax_number": "910-588-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN FAMILY CARE HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-588-4619"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL009-006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Evans Lowry, FNP
• Jan Harris Lundgren, CCC-SLP
• Ashley B Marlowe, FNP
• Andrew B McCorison, PA-C
• McLean Family Care Home
• Benjamin Joel McMillan, NP
• Megan McWhorter, LPTA
• Med-Trans Corporation
• Stephen Meinhardt
• Brenda A Melvin, LCSW

• Adult Care Home Facility in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Adult Care Home Facility in North Carolina

• 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.