Organization Active NPI

McLendon Manor and Advocacy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
National Provider Identifier
1861138067
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MCLENDON MANOR AND ADVOCACY LLC
Practice address
920 E Main St
Mesa, AZ 85203-8820
Phone
(623) 666-3673
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Shante McLendon
Title
Owner
Phone
(623) 666-3673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

920 E Main St
Mesa, AZ 85203-8820

Mailing address

2036 N Gilbert Rd Ste 2-491
Mesa, AZ 85203-2139
Phone (623) 666-3673

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mclendonmanorllc@yahoo.com

National Provider Directory

National Provider Directory
Tax ID family
McLendon Manor Advocacy LLC2 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.

Locations

2036 N Gilbert Rd
Ste 2491
Mesa, AZ 85203

920 E Main St
Mesa, AZ 85203
Phone (623) 666-3673

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1861138067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 N GILBERT RD STE 2-491",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032139",
            "telephone_number": "623-666-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038820",
            "telephone_number": "623-666-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLENDON MANOR AND ADVOCACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-666-3673"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mclendonmanorllc@yahoo.com",
            "affiliation": "N",
            "address_1": "920 E Main St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852038820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.