RL Clark Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RL CLARK ENTERPRISES LLC

Practice address

41A Motif Blvd
Brownsburg, IN 46112-1017

Phone

(317) 286-3042

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Richard Lee Clark

Title

Owner/President

Phone

(317) 286-3042

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Homewatch CareGivers of Brownsburg Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1154074557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41A MOTIF BLVD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121017",
            "telephone_number": "317-286-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41A MOTIF BLVD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121017",
            "telephone_number": "317-286-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL CLARK ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-286-3042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "253Z0000X",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "01708799984",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RLClark@homewatchcaregivers.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "41A Motif Blvd",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461121017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Brownsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Richins, RBT
• Kaitlyn Richwine
• Madeline Riess, RBT
• Erin Ring, RBT
• Caroline Rivera, RBT
• Kindsey Mary-Paige Robertson, BSW, MSW
• Whitney Robertson
• Alyssa D Robinson, NURSE PRACTITIONER
• Marlinda Joyce Robinson
• Emma Rockey, RBT

• In Home Supportive Care Agency in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.