KEYONDRA CLARK BSN RN
NPI 1053145581
In Home Supportive Care in Cordele, GA

Q: What is Keyondra Clark's NPI number?

The NPI number for Keyondra Clark is 1053145581. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Keyondra Clark's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Keyondra Clark was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2024

411 W 24TH AVE, CORDELE, GA 31015(229) 699-2020 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Keyondra Clark Bsn Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYONDRA CLARK BSN RN (NPI 1053145581) is an individual in home supportive care provider in Cordele, Georgia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1053145581

Entity TypeIndividualFemale

Primary Taxonomy253Z00000X

Provider Legal NameKEYONDRA CLARKCredential: BSN RN

Location Address411 W 24TH AVECordele, GA 31015-3941

Mailing Address102 Carson DrCordele, GA 31015-6776 · (229) 699-2020

Phone(229) 699-2020

Sole ProprietorYes

Enumeration DateAugust 28, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1053145581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

411 W 24TH AVE, Cordele, GA 31015

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFLUENT HEALTHCARE, LLC

In Home Supportive Care

411 W 24TH AVE
CORDELE, GA 31015

Crisp County (229) 715-7225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keyondra Clark's NPI number?

The NPI number for Keyondra Clark is 1053145581. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Keyondra Clark located?

Keyondra Clark practices at 411 W 24th Ave, Cordele, GA 31015. The listed phone number is (229) 699-2020.

What is Keyondra Clark's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Keyondra Clark was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.