Clark Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLARK HOME CARE, INC.

Practice address

8001 N Point Blvd
Winston Salem, NC 27106-3247

Phone

(336) 413-9330

NPI assigned

Jan 26, 2016

Last updated

Jun 17, 2021By 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

William Irvin Smith

Title

Ceo

Phone

(336) 413-9330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1881051548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N POINT BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063247",
            "telephone_number": "336-413-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N POINT BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063247",
            "telephone_number": "336-413-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-413-9330"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Medical Supply
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• Michael Forrest Clamp, M.D.
• Rachel Michelle Clancy
• Clarity Wellness Counseling, PLLC
• Anna Clark-Suter, LCSWA
• Adele Clark, PA
• Annie Clark
• Caroline Lee Clark, MD
• Cassidy Rae Clark, PA-C

• In Home Supportive Care Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.