Healthcare Provider Details

I. General information

NPI: 1295664662
Provider Name (Legal Business Name): MRS. CASSANDRA MCCLINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 W OXMOOR RD APT 1F
BIRMINGHAM AL
35209-7530
US

IV. Provider business mailing address

1260 LITTLE BROOK LN
BIRMINGHAM AL
35235-2751
US

V. Phone/Fax

Practice location:
  • Phone: 205-942-3355
  • Fax:
Mailing address:
  • Phone: 205-420-9927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: