Provider Demographics
NPI:1275161200
Name:MCCLAIN PROPERTIES, LLC
Entity Type:Organization
Organization Name:MCCLAIN PROPERTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAIN-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:615-500-1049
Mailing Address - Street 1:332 CEDARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6623
Mailing Address - Country:US
Mailing Address - Phone:615-500-1049
Mailing Address - Fax:615-712-8383
Practice Address - Street 1:1320 BELLSHIRE TERRACE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1734
Practice Address - Country:US
Practice Address - Phone:615-750-5259
Practice Address - Fax:615-712-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility