McClain'S Residential Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4845 Issued in NC

Legal business name

MCCLAIN'S RESIDENTIAL HOME CARE AGENCY, LLC

Practice address

5801 Executive Center Dr Ste 102
Charlotte, NC 28212-8895

Phone

(980) 207-3006

Fax

(980) 430-3225

NPI assigned

Jul 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Patrick O. McClain Sr.

Title

Owner/ Director

Phone

(980) 207-3006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1851744080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128895",
            "telephone_number": "980-207-3006",
            "fax_number": "980-430-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128895",
            "telephone_number": "980-207-3006",
            "fax_number": "980-430-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN'S RESIDENTIAL HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "980-207-3006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fliehr McClain, RRT
• Tahysha McClain, IBCLC
• McClain'S Family Care Home #1
• McClain'S Residential Home Care Agency LLC
• McClain'S Residential Home Care Agency, LLC
• Ann Margaret McClanahan, SLP
• Suzanne McClanahan, PHARMD
• Cameron McClane
• Jeremy McCleery
• David McClellan, AGACNP

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.