COLE CLARK
NPI 1538556436
Respite Care in Cleveland, MS

Q: What is Cole Clark's NPI number?

The NPI number for Cole Clark is 1538556436. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Cole Clark's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Q: When was this NPI record last updated?

The NPPES record for Cole Clark was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 20, 2015

103 S COURT ST, 103 SOUTH STREET, CLEVELAND, MS 38732(662) 719-8217(662) 843-0002 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Cole Clark NPPES

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

COLE CLARK (NPI 1538556436) is an individual respite care provider in Cleveland, Mississippi and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1538556436

Entity TypeIndividualMale

Primary Taxonomy385H00000X

Provider Legal NameCOLE CLARK

Location Address103 S COURT ST, 103 SOUTH STREETCleveland, MS 38732-2651

Mailing AddressPo Box 264, 103 South StreetCleveland, MS 38732-0264 · (662) 719-8217 · Fax (662) 843-0002

Phone(662) 719-8217

Fax(662) 843-0002

Sole ProprietorYes

Enumeration DateApril 20, 2015

✔ NPI 1538556436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility

Taxonomy Code385H00000X

103 S COURT ST, Cleveland, MS 38732

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Other Providers at the Same Location NPPES 7

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

DELTA SOUL MEDICAL HOMECARE

Technician (Personal Care Attendant)

103 S COURT ST, SUITE 118
CLEVELAND, MS 38732

Bolivar County (662) 843-0006

SERENITY HOSPICE

Home Health

103 S COURT ST, SUITE 107
CLEVELAND, MS 38732

Bolivar County (662) 545-4756

ELDER AIDE HOMEMAKER SERVICES, LLC

In Home Supportive Care

103 S COURT ST, SUITE 128
CLEVELAND, MS 38732

Bolivar County (662) 721-0837

MR. IRA N/A WILSON

Counselor

103 S COURT ST
CLEVELAND, MS 38732

Bolivar County (662) 588-5078

MISSISSIPPI VISITING PHYSICIANS, LLC

Family Medicine

103 S COURT ST, SUITE 118
CLEVELAND, MS 38732

Bolivar County (662) 843-6606

DELTA SOUL MEDICAL HOMECARE, LLC

Homemaker

103 S COURT ST, SUITE 118
CLEVELAND, MS 38732

Bolivar County (662) 843-0006

MR. ZEYAD KASSEM

In Home Supportive Care

103 S COURT ST, SUITE 126
CLEVELAND, MS 38732

Bolivar County (662) 843-6606

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 Cole Clark's NPI number?

The NPI number for Cole Clark is 1538556436. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Cole Clark located?

Cole Clark practices at 103 S Court St 103 South Street, Cleveland, MS 38732. The listed phone number is (662) 719-8217.

What is Cole Clark's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Cole Clark was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.