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DEMETRIA CLARK
NPI 1487209722
Home Health in Toledo, OH

Active since August 05, 2019
709 LODGE AVE, TOLEDO, OH 43609(567) 702-1078 Get Directions Write a Review

NPPES record last updated: October 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2022, Jun 10, 2022, Aug 5, 2019 (3 updates tracked since 2019).

About Demetria Clark NPPES

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

DEMETRIA CLARK (NPI 1487209722) is an individual home health provider in Toledo, Ohio and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1487209722
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameDEMETRIA CLARK
Location Address709 LODGE AVEToledo, OH 43609-2915
Mailing Address709 Lodge AveToledo, OH 43609-1173 · (567) 702-1078
Phone(567) 702-1078
Sole ProprietorYes
Enumeration DateAugust 5, 2019
Last NPPES UpdateOctober 2, 20223 updates tracked since enumeration
NPPES CertifiedOctober 2, 2022
✔ NPI 1487209722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.
Also ListedTechnician, OtherTaxonomy 247200000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedSecured Medical Transport (VAN)Taxonomy 343800000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
709 LODGE AVE, Toledo, OH 43609
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Other Providers at the Same Location NPPES

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

PRISTINE RESIDENTIAL CARE
Home Health
709 LODGE AVE
TOLEDO, OH 43609
Lucas County (567) 702-1078

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 Demetria Clark's NPI number?

The NPI number for Demetria Clark is 1487209722. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Demetria Clark located?

Demetria Clark practices at 709 Lodge Ave, Toledo, OH 43609. The listed phone number is (567) 702-1078.

What is Demetria Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Demetria Clark was last updated on October 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.