Organization Active NPI

Clark Quality Care LLC

  • Community/Behavioral Health Agency
  • Portsmouth, VA
National Provider Identifier
1255177226
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLARK QUALITY CARE LLC
Practice address
601 Dinwiddie St
Portsmouth, VA 23704-3613
Phone
(404) 960-6479
NPI assigned
Jul 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Johari Clark
Title
Ceo
Phone
(757) 776-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

601 Dinwiddie St
Portsmouth, VA 23704-3613

Mailing address

601 Dinwiddie St
Portsmouth, VA 23704-3613
Phone (757) 776-5280

Other practice location 1

305 Avondale Rd
Portsmouth, VA 23701-4207
Phone (757) 776-5280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1255177226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DINWIDDIE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043613",
            "telephone_number": "757-776-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DINWIDDIE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043613",
            "telephone_number": "404-960-6479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Avondale Rd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237014207",
            "country_code": "US",
            "telephone_number": "757-776-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-776-5280"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.