GEORGE CLARK
NPI 1083099279
Assisted Living Facility in East Windsor Nj, NJ

Q: What is George Clark's NPI number?

The NPI number for George Clark is 1083099279. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is George Clark's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for George Clark was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 29, 2015

P13 AVON DR, EAST WINDSOR NJ, NJ 08520(919) 632-4347 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About George Clark NPPES

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

GEORGE CLARK (NPI 1083099279) is an individual assisted living facility provider in East Windsor Nj, New Jersey, licensed in New Jersey (40QB00319500) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1083099279

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameGEORGE CLARK

Location AddressP13 AVON DREast Windsor Nj, NJ 08520

Mailing AddressP13 Avon DrEast Windsor, NJ 08520-5653 · (910) 977-0539

Phone(919) 632-4347

Sole ProprietorYes

Enumeration DateJuly 29, 2015

✔ NPI 1083099279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in NJ · 40QB00319500

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

P13 AVON DR, East Windsor Nj, NJ 08520

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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 George Clark's NPI number?

The NPI number for George Clark is 1083099279. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is George Clark located?

George Clark practices at P13 Avon Dr, East Windsor Nj, NJ 08520. The listed phone number is (919) 632-4347.

What is George Clark's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for George Clark was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.