TRACY BOSTIC CLINGAN — NPI 1710149000 (CMS-Certified Home Health Care & Skilled Nursing Agency in HAMILTON, AL)

CMS-1500 Box 24J / 33a • NPI

1710149000

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2279H0200X

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

620 GRANDVIEW DR, HAMILTON, AL, 35570-4332

✓ 9-Digit EDI 837 ZIP+4 (35570-4332)

Practice Phone & Referral Fax

(205) 495-4314

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710149000 (TRACY BOSTIC CLINGAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710149000` (NPI-1 Individual Practitioner)
Provider / Legal Name	TRACY BOSTIC CLINGAN
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `2279H0200X` (Respiratory Therapist, Registered, Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	620 GRANDVIEW DR, HAMILTON, AL, 35570-4332
Practice Telephone / Fax	Tel: (205) 495-4314
Administrative Mailing Address	PO BOX 1941, HAMILTON, AL, 35570-1941
Enumeration & Last Sync	Enumerated: 2008-06-27 \| CMS Record Updated: 2008-06-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

620 GRANDVIEW DR, HAMILTON, AL, 35570-4332

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Plain-English Taxonomy & CMS Crosswalk (2279H0200X)

What Does Taxonomy Code 2279H0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2279H0200X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TRACY BOSTIC CLINGAN)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2279H0200X` — Respiratory Therapist, Registered, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: AL \| License: `9359006805` \| Primary: Yes (Primary)
`2279P1004X` — Respiratory Therapist, Registered, Pulmonary Diagnostics Plain English: Licensed & Credentialed Respiratory Therapist, Registered, Pulmonary Diagnostics	State: AL \| License: `9359006805` \| Primary: Secondary
`246W00000X` — Technician, Cardiology Plain English: Licensed & Credentialed Technician, Cardiology	State: AL \| License: `9359006805` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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TRACY BOSTIC CLINGAN (NPI #1710149000)