MEDICARE: MRS. CASSANDRA MCCLINTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	376J00000X	Homemaker	AL
2	374U00000X	Home Health Aide	AL
3	171M00000X	Case Manager/Care Coordinator	AL

General Provider Information

NPI Number	:	1295664662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASSANDRA MCCLINTON

Provider Business Mailing Address
First Line	:	1260 LITTLE BROOK LN
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-2751
Country	:	US
Telephone Number	:	205-420-9927
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 W OXMOOR RD APT 1F
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7530
Country	:	US
Telephone Number	:	205-942-3355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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