Quentin Levan McClintock

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-1138 Issued in SC

Practice address

10545 Greenville Hwy
Wellford, SC 29385-9541

Phone

(864) 303-4052

Fax

(864) 469-3064

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angels Best Home Care LLC

  • In Home Supportive Care Agency
  • Wellford, SC
  • NPI 1174156897
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1891327508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 GREENVILLE HWY",
            "city": "WELLFORD",
            "state": "SC",
            "postal_code": "293859541",
            "telephone_number": "864-303-4052",
            "fax_number": "864-469-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 GREENVILLE HWY",
            "city": "WELLFORD",
            "state": "SC",
            "postal_code": "293859541",
            "telephone_number": "864-303-4052",
            "fax_number": "864-469-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "QUENTIN",
        "middle_name": "LEVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "IHCP-1138",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-1138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Godwin
• Robert Harris, MD
• Hope Remains Youth Ranch
• Tara Kennedy
• Margaret B Logan, FNP
• Misty C Petras, FNP
• Ebony Reid, DOULA
• Aundra Christina Scott, M. ED., CCC-SLP
• Holly Corvette Scott
• Serenity Healthcare Agency LLC

• In Home Supportive Care Agency in Wellford, SC
• Providers in Wellford, SC by specialty
• In Home Supportive Care Agency in South Carolina

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