Healthcare Provider Details

I. General information

NPI: 1588936389
Provider Name (Legal Business Name): MCLEAN'S HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6126 LANDOVER RD UNIT 3
CHEVERLY MD
20785-1016
US

IV. Provider business mailing address

6126 LANDOVER RD UNIT 3
CHEVERLY MD
20785-1016
US

V. Phone/Fax

Practice location:
  • Phone: 301-955-0744
  • Fax: 272-261-4071
Mailing address:
  • Phone: 301-955-0744
  • Fax: 272-261-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberR131588
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberR131588
License Number StateMD

VIII. Authorized Official

Name: CAROL PATRICIA MCLEAN
Title or Position: CRNP
Credential: NP
Phone: 301-955-0744