Latrice Clark

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO-202031 Issued in VA

Practice address

5226 Whetstone Rd
N Chesterfld, VA 23234-4324

Phone

(336) 866-9248

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Care at Home

  • In Home Supportive Care Agency
  • North Chesterfield, VA
  • NPI 1528603172

  Single Specialty

  NPD Authorized official
• Quality Care Transits LLC

  • Non-emergency Medical Transport (VAN)
  • Chesterfield, VA
  • NPI 1437931979
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1043855687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 WHETSTONE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344324",
            "telephone_number": "336-866-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 WHETSTONE RD",
            "city": "N CHESTERFLD",
            "state": "VA",
            "postal_code": "232344324",
            "telephone_number": "336-866-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Driver",
            "state": "VA",
            "license": "HCO-202031",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "HCO-202031",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "VA",
            "license": "HCO-202031",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "HCO-202031",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-202031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Qualityassessments@1qhc.net",
            "affiliation": "N",
            "address_1": "5226 Whetstone Rd",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232344324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New Hope Hospice LLC
• We Care for All LLC

• In Home Supportive Care Agency in N Chesterfld, VA
• Providers in N Chesterfld, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.