MCCLENDON FUNDERBURK HOME HEALTH CARE, INC.


Address: 5218 Springdale Drive, Waxhaw, NC 28713
Phone: 7048430793

MCCLENDON FUNDERBURK HOME HEALTH CARE, INC. (NPI# 1346682721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346682721
Entity Type Organization
Organization Name MCCLENDON FUNDERBURK HOME HEALTH CARE, INC.
Other Organization Name M & F, INC.
Practice Address 5218 Springdale Drive
Waxhaw
NC 28713
Mailing Address P.o. Box 758
Mineral Springs
NC 28108
Practice Telephone 7048430793
Mailing Telephone 7048430793
Enumeration Date 2013-07-25
Last Update Date 2013-07-25
Authorized Official Name MRS. LORIETTA MCCLENDON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7048430793
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC N/A 05

Other Provider/Organization Names

Other Name Type Code
M & F, Inc. Other Name - Individual/Organization

Office Location

Street Address 5218 SPRINGDALE DRIVE
City WAXHAW
State NC
Zip Code 28713

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1982089553 Liberty Corner Enterprises, Inc. Case Management 30 Arlington Extension, Bryson City, NC 28713 2015-07-24
1316374861 Katherine Kreps Pharmacist 50 Hwy 19 & Slope St, Bryson City, NC 28713 2013-09-30
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1154671188 Pamela B Winchester Pharmacist Hwy 19 and Slope St., Bryson City, NC 28713 2012-09-18
1760761456 Dennis M Harrison Acupuncturist 641 Wesser Creek Rd., Bryson City, NC 28713 2011-08-11
1730499674 Mountain Discovery Charter School Physical Therapist 890 Jenkins Branch Rd, Bryson City, NC 28713 2010-10-13
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1710443395 Unity 4 Us Community Outreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 406 Lincoln St, Belmont, NC 28012-3045 2019-02-19
1871059444 Believing Everyone Succeeds Together Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 2019-02-19
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1316415037 Igr Collaborations Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 2018-11-12
1164924940 David Douglas Whitfield Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5342 Us Highway 301 North, Micro, NC 27555 2018-03-07
1710489976 Moravian Enterprises, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 North Elm St., Suite 810, Greensboro, NC 27401 2018-03-05
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Competitor

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City WAXHAW
Zip Code 28713

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Dataset Information

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.

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