Elaine E. Clark Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELAINE E. CLARK CARE LLC

Practice address

6027 Ellsworth St
Philadelphia, PA 19143-2330

Phone

(267) 334-9151

NPI assigned

Feb 26, 2021

Organization subpart

No

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

Authorized official

Name

Jhazzmin Porter

Title

President

Phone

(267) 423-6022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1659965903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 ELLSWORTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 ELLSWORTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432330",
            "telephone_number": "267-334-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE E. CLARK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JHAZZMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-423-6022"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamil El, CNM
• Tylisha Renee El, CRNP
• Jeneen Elagha, DPM
• Elaine Desilva, PH.D.,P.C.
• Elaine Desilva, PHD., P.C.
• Abdelwahab Ibrahim Elamin
• Nishikanta Singh Elangbam, MD
• Ilham Elarchi
• Elation Caregivers LLC
• Elba Behavior Solutions

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.