Clinton E Clark
Individual provider Active NPI Home Health Agency · East Cleveland, OH
NPI 1033802137 · NPPES record last updated Jun 2, 2023
Key facts
- NPI
- 1033802137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 1183 Carlyon Rd
East Cleveland, OH 44112-4163 - Phone
- (216) 408-7353
- NPI assigned
- Jun 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1183 Carlyon Rd
East Cleveland, OH 44112-4163
Mailing address
25000 Euclid Ave Ste 305
Euclid, OH 44117-2646
Phone (216) 408-7353
Other providers in East Cleveland, OH
- Aleyha Eva Chambers
- Vedantum Chari
- City of East Cleveland
- CJL Inc.
- Ariyan Clark
- Deja Clark
- Cleveland Foot and Ankle Clinic
- Valerie T. Coats
- Yalanda Coleman
- Comfort Matters
All providers in East Cleveland, OH · Home Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.