McLean Family Care Home
Custodial Care Facility, Adult Care Home in Fayetteville, NC. Organization (NPI-2).
NPI number1124153382
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124153382
- Entity type
- Organization (NPI-2)
- Legal business name
- McLean Family Care Home
- Organization subpart
- No
- Enumeration date
- Feb 21, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | FCL026040 | NC | Yes |
Practice location
6487 Pleasant RdFayetteville, NC 28314-0552
Phone 910-263-0798
Mailing address
P. O. Box 2608Fayetteville, NC 28314-2608
Phone 910-263-0798
Authorized official
Houston McLean
Owner
9102630798
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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