Carl Clark

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3387 Howells Mill Rd
Ona, WV 25545-9595

Phone

(304) 634-5625

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1639970262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255450035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 HOWELLS MILL RD",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255459595",
            "telephone_number": "304-634-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Breeding
• Austin Brewer, PTA
• Richard Campbell, DPT
• Courtney Cathers
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Autumn Conley
• Skylar Michelle Conrad
• Jessica Lynne Cooke
• Susan Cullifer, RN
• Brandon Dale, PT, DPT

• Home Health Aide in Ona, WV
• Providers in Ona, WV by specialty
• Home Health Aide in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.