NPIMap

Organization Active NPI

McClain'S Family Care Home #1

  • Preferred Provider Organization
  • Charlotte, NC
National Provider Identifier
1891058210
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
FCL-060-123 Issued in NC
Legal business name
MCCLAIN'S FAMILY CARE HOME #1
Practice address
5953 The Plaza
Charlotte, NC 28215-2451
Phone
(980) 207-4747
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Mr. Patrick Oldpa McClain, PATRICK MCCLAIN
Title
Owner/Administrator
Phone
(704) 713-9920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X FCL-060-123 NC Primary

Addresses

Primary practice location

5953 The Plaza
Charlotte, NC 28215-2451

Mailing address

5953 The Plaza
Charlotte, NC 28215-2451
Phone (980) 207-4747

Other identifiers 1

IdentifierTypeStateIssuer
FCL-060-123MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
McClain'S Family Care Home 12 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.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1891058210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 THE PLAZA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152451",
            "telephone_number": "980-207-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 THE PLAZA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152451",
            "telephone_number": "980-207-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLAIN'S FAMILY CARE HOME #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "OLDPA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-713-9920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PATRICK MCCLAIN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "FCL-060-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FCL-060-123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.