ELIJAH CLARK NPI 1922897669

NPI Information

  • NPI: 1922897669
  • Provider Name: ELIJAH CLARK
  • Classification: Meals - 174200000X
  • Entity Type: Individual
  • Address: 20 HELTON DR APT 3123
    COLUMBIA, SC
    ZIP 29229
  • Phone: (803) 807-8894

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NPI Details

Elijah Clark is a meals in Columbia, SC. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. Elijah Clark NPI is 1922897669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20 HELTON DR APT 3123
COLUMBIA, SC
ZIP 29229-948
Phone: (803) 807-8894
Fax: (803) 807-8894

The enumeration date for this NPI number is 4/30/2025 and was last updated on 4/30/2025.

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
1251E00000XHome HealthNo
2174200000XMealsYes

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: 11/21/2025

NPI Synchronization or Removal

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