SHANELL CLARK NPI 1972958106

NPI Information

NPI: 1972958106
Provider Name: SHANELL CLARK
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address:
21820 BEVERLY ST
OAK PARK, MI
ZIP 48237
Phone: (248) 234-6150
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Shanell Clark is a nursing home administrator in Oak Park, MI. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Shanell Clark NPI is 1972958106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21820 BEVERLY ST
OAK PARK, MI
ZIP 48237-503
Phone: (248) 234-6150

The enumeration date for this NPI number is 4/25/2016 and was last updated on 4/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	171M00000X	Case Manager/Care Coordinator	No
2	372500000X	Chore Provider	No
3	373H00000X	Day Training/Habilitation Specialist	No
4	376G00000X	Nursing Home Administrator	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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