CLARK AT HOME PERSONAL SERVICES
NPI 1174771026
Home Health in Grand Rapids, MI

Active since September 04, 2008CLIA Certified · 2 labs
1551 FRANKLIN ST SE, GRAND RAPIDS, MI 49506(616) 452-1568(616) 452-0428 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark At Home Personal Services NPPES

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

CLARK AT HOME PERSONAL SERVICES (NPI 1174771026) is a healthcare organization registered as a home health in Grand Rapids, Michigan and active in the NPI registry since September 2008. The organization holds 2 active CLIA laboratory certificates and lists Stephanie Lynn Hotz, Accounts Receivable Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174771026
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCLARK RETIREMENT COMMUNITY INC.
Location Address1551 FRANKLIN ST SEGrand Rapids, MI 49506-8203
Mailing Address1551 Franklin St SeGrand Rapids, MI 49506-8203 · (616) 452-1568 · Fax (616) 452-0428
Fax(616) 452-0428
Organization SubpartNo
Authorized OfficialStephanie Lynn HotzAccounts Receivable Coordinator · (616) 452-1568
Enumeration DateSeptember 4, 2008
Last NPPES UpdateMay 14, 2009
NPI 1174771026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1551 FRANKLIN ST SE, Grand Rapids, MI 49506

Other Names 1

Doing Business AsClark At Home Personal Services

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2199714

Clark Retirement Communities · Grand Rapids, MI
Active · expires Nov 9, 2026
CLIA Number23D2199714
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorLisa A. Spangler
Laboratory Phone(616) 278-6996
Laboratory LocationClark Retirement Communities1551 Franklin Street SE, Grand Rapids, MI 49506
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2199716

Clark Retirement Communities · Grand Rapids, MI
Active · expires Nov 9, 2026
CLIA Number23D2199716
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorLisa M. Spangler
Laboratory Phone(616) 278-6608
Laboratory LocationClark Retirement Communities1551 Franklin Street SE, Grand Rapids, MI 49506
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Pharmacy
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506
Physical Therapist
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506
Skilled Nursing Facility
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506
Occupational Therapy Assistant
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506
Recreational Therapist Assistant
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506
Home Health
1551 FRANKLIN ST SE
GRAND RAPIDS, MI 49506

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 Clark Retirement Community Inc.'s NPI number?

The NPI number for Clark Retirement Community Inc. is 1174771026. It was assigned to this organization in the NPPES registry on September 4, 2008. The provider is doing business as Clark At Home Personal Services.

Where is Clark Retirement Community Inc. located?

Clark Retirement Community Inc. is located at 1551 Franklin St SE, Grand Rapids, MI 49506. The listed phone number is (616) 452-1568.

What is Clark Retirement Community Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Clark Retirement Community Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Clark Retirement Community Inc. was last updated on May 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.