Lashunda Denise Clark
Individual provider Active NPI Home Health Agency · Goodrich, TX
NPI 1942895800 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1942895800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 260 Harrell LN
Goodrich, TX 77335-8385 - Phone
- (346) 339-5024
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
260 Harrell LN
Goodrich, TX 77335-8385
Mailing address
260 Harrell LN
Goodrich, TX 77335-8385
Phone (346) 339-5024
Other providers in Goodrich, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.