HERMAN CLARK
NPI 1639776628
Home Health Aide in Washington, DC
Active since October 03, 2020
About Herman Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERMAN CLARK (NPI 1639776628) is an individual home health aide in Washington, District Of Columbia and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1639776628
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameHERMAN CLARK
Location Address4269 EDSON PL NEWashington, DC 20019-8024
Mailing Address2417 Kenton PlTemple Hills, MD 20748-6812 · (202) 415-1205
Phone(202) 415-1205
Sole ProprietorNo
Enumeration DateOctober 3, 2020
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 3, 2020
✔ NPI 1639776628 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
4269 EDSON PL NE, Washington, DC 20019
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639776628, enumerated as an "individual" on October 03, 2020.
The provider is located at 4269 EDSON PL NE WASHINGTON, DC 20019 and the phone number is (202) 415-1205.
Home Health Aide with taxonomy code 374U00000X.
