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SHAHEDA CLARK
NPI 1366323362
Adult Companion in South Bend, IN

Active since September 08, 2025
414 HANEY AVE, SOUTH BEND, IN 46613(574) 210-5749 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shaheda Clark NPPES

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

SHAHEDA CLARK (NPI 1366323362) is an individual adult companion provider in South Bend, Indiana and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1366323362
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameSHAHEDA CLARK
Location Address414 HANEY AVESouth Bend, IN 46613-2409
Mailing Address414 Haney AveSouth Bend, IN 46613-2409 · (574) 210-5749
Phone(574) 210-5749
Sole ProprietorNo
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1366323362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
414 HANEY AVE, South Bend, IN 46613
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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 Shaheda Clark's NPI number?

The NPI number for Shaheda Clark is 1366323362. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Shaheda Clark located?

Shaheda Clark practices at 414 Haney Ave, South Bend, IN 46613. The listed phone number is (574) 210-5749.

What is Shaheda Clark's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Shaheda Clark was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.