JOE CLARK RESIDENTIAL CARE HOME
NPI 1316369192
Assisted Living Facility in Nevada, MO

Active since January 13, 2014
1495 E ASHLAND ST, NEVADA, MO 64772(417) 667-5000 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joe Clark Residential Care Home NPPES

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

JOE CLARK RESIDENTIAL CARE HOME (NPI 1316369192) is a healthcare organization registered as an assisted living facility in Nevada, Missouri and active in the NPI registry since January 2014. The organization lists Karen Clark, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1316369192
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKRC 1495 HEALTH CARE SERVICES LLC
Location Address1495 E ASHLAND STNevada, MO 64772-4016
Mailing AddressPo Box 246Nevada, MO 64772-0246 · (417) 667-5000
Organization SubpartNo
Authorized OfficialKaren ClarkManaging Member · (417) 667-5000
Enumeration DateJanuary 13, 2014
NPI 1316369192 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 MO · 041597
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.
1495 E ASHLAND ST, Nevada, MO 64772

Other Names 1

Doing Business AsJoe Clark Residential Care Home

Other Providers at the Same Location NPPES 4

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

Assisted Living Facility
1495 E ASHLAND ST
NEVADA, MO 64772
Assisted Living Facility
1495 E ASHLAND ST
NEVADA, MO 64772
Assisted Living Facility
1495 E ASHLAND ST
NEVADA, MO 64772
Nursing Home Administrator
1495 E ASHLAND ST
NEVADA, MO 64772

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 Krc 1495 Health Care Services LLC's NPI number?

The NPI number for Krc 1495 Health Care Services LLC is 1316369192. It was assigned to this organization in the NPPES registry on January 13, 2014. The provider is doing business as Joe Clark Residential Care Home.

Where is Krc 1495 Health Care Services LLC located?

Krc 1495 Health Care Services LLC is located at 1495 E Ashland St, Nevada, MO 64772. The listed phone number is (417) 667-5000.

What is Krc 1495 Health Care Services LLC'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 Krc 1495 Health Care Services LLC was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.