Active NPI
Jhameca Clark
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1003754433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 2501 W Oberlin Way
Phoenix, AZ 85085-4749 - Phone
- (480) 452-9624
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Home Health Agency | 251E00000X | AZ | Primary |
Addresses
Primary practice location
2501 W Oberlin Way
Phoenix, AZ 85085-4749
Mailing address
2501 W Oberlin Way
Phoenix, AZ 85085-4749
Phone (480) 452-9624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1003754433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W OBERLIN WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850854749",
"telephone_number": "480-452-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W OBERLIN WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850854749",
"telephone_number": "480-452-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JHAMECA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.