CLARK SENIOR CAREINC NPI 1659501534

NPI Information

NPI: 1659501534
Provider Name: CLARK SENIOR CARE,INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
526 SOUTH ST
CALAIS, ME
ZIP 04619
Phone: (207) 454-3709
Get Directions

CLARK SENIOR CARE,INC is an adult care home custodial care facility in Calais, ME. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CLARK SENIOR CARE,INC NPI is 1659501534. The provider is registered as an organization entity type.

The provider's business location address is:

526 SOUTH ST
CALAIS, ME
ZIP 04619-118
Phone: (207) 454-3709

The provider's authorized official is Judith A. Clark .
The authorized official title is Owner/administrator and has the following contact phone number (207) 454-3709.

The enumeration date for this NPI number is 7/25/2009 and was last updated on 7/25/2009.

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	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	ALLS3154	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	131220001	MEDICAID	MAINE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »