ALAYSHA CLARK
NPI 1083352215
Custodial Care Facility - Adult Care Home in Riverview, FL

Q: What is Alaysha Clark's NPI number?

The NPI number for Alaysha Clark is 1083352215. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Alaysha Clark's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Alaysha Clark was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 26, 2022

11309 CHILLY WATER CT, RIVERVIEW, FL 33569(813) 507-5878 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2026, May 26, 2022 (2 updates tracked since 2022).

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About Alaysha Clark NPPES

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

ALAYSHA CLARK (NPI 1083352215) is an individual adult care home provider in Riverview, Florida and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1083352215

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameALAYSHA CLARK

Location Address11309 CHILLY WATER CTRiverview, FL 33569-2059

Mailing Address11309 Chilly Water CtRiverview, FL 33569-2059 · (813) 507-5878

Phone(813) 507-5878

Sole ProprietorYes

Enumeration DateMay 26, 2022

Last NPPES UpdateApril 25, 20262 updates tracked since enumeration

NPPES CertifiedApril 25, 2026

✔ NPI 1083352215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

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.

11309 CHILLY WATER CT, Riverview, FL 33569

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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.

MAGNOLIA FIELDS AFCH LLC

Assisted Living Facility

11309 CHILLY WATER CT
RIVERVIEW, FL 33569

Hillsborough County (813) 507-5878

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 Alaysha Clark's NPI number?

The NPI number for Alaysha Clark is 1083352215. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Alaysha Clark located?

Alaysha Clark practices at 11309 Chilly Water Ct, Riverview, FL 33569. The listed phone number is (813) 507-5878.

What is Alaysha Clark's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Alaysha Clark was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.