Clark Legacy Home Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLARK LEGACY HOME HEALTH, LLC

Practice address

450 N Brandon Blvd
Brandon, MS 39042-8340

Phone

(601) 942-2115

Fax

(601) 942-2115

NPI assigned

Mar 20, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Eric Ferlaine Clark Sr.NPI 1902652530

Title

Owner

Phone

(601) 942-2115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric F Clark Sr.

  • Transportation Network Company
  • Brandon, MS
  • NPI 1902652530
  NPD (past) Authorized official

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1922956259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BRANDON BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428340",
            "telephone_number": "601-942-2115",
            "fax_number": "601-942-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BRANDON BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428340",
            "telephone_number": "601-942-2115",
            "fax_number": "601-942-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK LEGACY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "FERLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-942-2115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Neurology Group PA
• Chandler Pleasant, D.M.D LLC
• Sonja Childers, PHARMD
• Sudhir Kumar Chiluka, M.D
• CK Health && Wellness Lab
• Christopher Clark
• Eric F Clark Sr.
• Ricky Lynn Clark
• Edward R Clarke
• Angela L Clay, OTR

• In Home Supportive Care Agency in Brandon, MS
• Providers in Brandon, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.