Mcclain'S Family Care Home #1

LBN: Mcclain'S Family Care Home #1
Mcclain'S Family Care Home #1 is an health care organization with primary practice located at 5953 The Plaza , Charlotte NC 28215-2451. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Mcclain'S Family Care Home #1 can be contacted via phone (980) 207-4747, or through Mcclain, Patrick Oldpa via phone (704) 713-9920.

Contact Information

Primary practice address
5953 The Plaza Charlotte NC 28215-2451
Phone: (980) 207-4747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcclain, Patrick Oldpa PATRICK MCCLAIN
Phone: (704) 713-9920

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X FCL-060-123 North Carolina

Profile Details

NPI number 1891058210
LBN Legal business name Mcclain'S Family Care Home #1
DBA Doing business as
Authorized official Mcclain, Patrick Oldpa PATRICK MCCLAIN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Aug 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891058210 NPPES
North Carolina MEDICAID FCL-060-123

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