Clark Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

018225 Issued in TX

Legal business name

CLARK HEALTHCARE SERVICES LLC

Doing business as

C Suite Health Services

Practice address

7803 Crystal Moon Dr
Houston, TX 77040-6058

Phone

(713) 856-5265

NPI assigned

Sep 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline JohnsonNPI 1831731777

Title

Administrator

Phone

(713) 856-5265

Specialties & licenses 1

Addresses

Other names 1

• C Suite Health Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Johnson, RN

  • Registered Nurse
  • Houston, TX
  • NPI 1831731777
  NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1801315346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 CRYSTAL MOON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406058",
            "telephone_number": "713-856-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 CRYSTAL MOON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406058",
            "telephone_number": "713-856-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-856-5265"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "018225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C Suite Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa Care
• Clarissa Care LLC (Elizabeth Home Health Care)
• Clarity Anesthesia, P.L.L.C.
• Clarity Neurology and Psychiatry, PLLC
• Clark Care LLC
• Kimberly Clark-Washington, MED., L.P.C.
• Allen Clark IV
• Allison Clark, PHD
• Andrea Clark
• Angel Marie Clark, LPC

• In Home Supportive Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.