MCLEAN FAMILY CARE HOME (NPI# 1124153382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124153382 |
| Entity Type | Organization |
| Organization Name | MCLEAN FAMILY CARE HOME |
| Practice Address |
6487 Pleasant Rd Fayetteville NC 28314-0552 |
| Mailing Address |
P. O. Box 2608 Fayetteville NC 28314-2608 |
| Practice Telephone | 9102630798 |
| Mailing Telephone | 9102630798 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HOUSTON MCLEAN (OWNER) |
| Authorized Official Telephone | 9102630798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL026040 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803674 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849693 | Mclean Family Care Home | Custodial Care Facility | 83 Esterville Rd, Elizabethtown, NC 28337-6411 | 2006-12-22 |
| Street Address |
6487 PLEASANT RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-0552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299717 | Just One Touch Homes | Custodial Care Facility | 2320 Rustic Trl, Fayetteville, NC 28306-3238 | 2017-11-29 |
| 1982063327 | Subtle Living, LLC | Custodial Care Facility | 183 Bonney Ln, Fayetteville, NC 28306-3735 | 2016-02-13 |
| 1164824322 | Sure Care | Custodial Care Facility | 110 Sylvan Loop, Fayetteville, GA 30214-7439 | 2014-09-18 |
| 1376978155 | Exton LLC | Custodial Care Facility | 220 Price Rd, Fayetteville, GA 30215-2019 | 2013-09-11 |
| 1598070708 | Puretouch Wellness Haven,inc | Custodial Care Facility | 110 Chandler Way, Fayetteville, GA 30215-2122 | 2010-08-11 |
| 1679693600 | Mcleod Family Care Center of Fayetteville | Custodial Care Facility | 248 Livermore Dr, Fayetteville, NC 28314-8616 | 2007-03-31 |
| 1700906070 | Glenn Krystle Manor | Custodial Care Facility | 220 Davis St, Fayetteville, NC 28305-5346 | 2007-03-30 |
| 1477604288 | Mcduffie Personal Care Services Inc | Custodial Care Facility | 1826 Wendover Dr, Fayetteville, NC 28304-1426 | 2007-01-16 |
| 1699847541 | Sophia B Pierce & Associates Inc | Custodial Care Facility | 611 Country Club Drive, Fayetteville, NC 28301 | 2006-11-15 |
| 1316584782 | Ga Hc Reit II Fayetteville Alf Trs Sub, LLC | Custodial Care Facility | 1164 71st School Rd, Fayetteville, NC 28314-2817 | 2019-12-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.