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SHONTA CLARK
NPI 1326400888
Assisted Living Facility in Saint Louis, MO

Active since March 24, 2016
325 ROSE LN, SAINT LOUIS, MO 63122(314) 686-8444 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shonta Clark NPPES

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

SHONTA CLARK (NPI 1326400888) is an individual assisted living facility provider in Saint Louis, Missouri and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1326400888
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameSHONTA CLARK
Location Address325 ROSE LNSaint Louis, MO 63122-5911
Mailing Address325 Rose LnSaint Louis, MO 63122-5911 · (314) 686-8444
Phone(314) 686-8444
Sole ProprietorYes
Enumeration DateMarch 24, 2016
✔ NPI 1326400888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
325 ROSE LN, Saint Louis, MO 63122
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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 Shonta Clark's NPI number?

The NPI number for Shonta Clark is 1326400888. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Shonta Clark located?

Shonta Clark practices at 325 Rose Ln, Saint Louis, MO 63122. The listed phone number is (314) 686-8444.

What is Shonta 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 Shonta Clark was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.