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CAROL CLARK
NPI 1164651915
Technician - Personal Care Attendant in Southgate, MI

Active since July 14, 2009
19401 NORTHLINE RD, SOUTHGATE, MI 48195(734) 785-7718 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Clark NPPES

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

CAROL CLARK (NPI 1164651915) is an individual personal care attendant in Southgate, Michigan and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1164651915
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameCAROL CLARK
Location Address19401 NORTHLINE RDSouthgate, MI 48195-2277
Mailing Address790 Saint Johns BlvdLincoln Park, MI 48146-4926
Phone(734) 785-7718
Sole ProprietorNo
Enumeration DateJuly 14, 2009
✔ NPI 1164651915 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
19401 NORTHLINE RD, Southgate, MI 48195
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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.

BRITTANY GRIHORASH
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
CAITLIN MCPARTLIN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TERA FLEMING
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
KRISTEN COLLINS
Occupational Therapist
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
PAUL MROZEK
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
LAURA TOLLEFSON
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
TANIA COSMAN
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718
DARIUS CHASE
Technician (Personal Care Attendant)
19401 NORTHLINE RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7718

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 Carol Clark's NPI number?

The NPI number for Carol Clark is 1164651915. It was assigned to this individual provider in the NPPES registry on July 14, 2009.

Where is Carol Clark located?

Carol Clark practices at 19401 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 785-7718.

What is Carol 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 Carol Clark was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.