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ETHEL GRACE DALMACIO CLARK
NPI 1073328779
Technician - Personal Care Attendant in Omaha, NE

Active since February 10, 2025
11110 FORT ST STE 103, OMAHA, NE 68164(531) 222-7452 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethel Grace Dalmacio Clark NPPES

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

ETHEL GRACE DALMACIO CLARK (NPI 1073328779) is an individual personal care attendant in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1073328779
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameETHEL GRACE DALMACIO CLARK
Location Address11110 FORT ST STE 103Omaha, NE 68164-2183
Mailing Address11110 Fort St Ste 103Omaha, NE 68164-2183 · (531) 222-7452
Phone(531) 222-7452
Sole ProprietorYes
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1073328779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
11110 FORT ST STE 103, Omaha, NE 68164
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Other Providers at the Same Location NPPES 20

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

JUNICE T MARINO
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944
GLENN AQUINO
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944
EMMALINE MEIS
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944
ANGELICA SANTOS
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944
EDITH CEBALLOS ESPINOZA
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 957-5833
SAMANTHA JO CAREY
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944
JACOB DUNCAN
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 957-5833
ANA MARIE PEERY
Technician (Attendant Care Provider)
11110 FORT ST STE 103
OMAHA, NE 68164
Douglas County (402) 201-9944

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 Ethel Grace Clark's NPI number?

The NPI number for Ethel Grace Clark is 1073328779. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Ethel Grace Clark located?

Ethel Grace Clark practices at 11110 Fort St Ste 103, Omaha, NE 68164. The listed phone number is (531) 222-7452.

What is Ethel Grace Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Ethel Grace Clark was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.