MR. TIMOTHY PATRICK CLARK
NPI 1659750412
Adult Companion in Willows, CA

Q: What is Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1659750412. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Timothy Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 May 27, 2015

242 N VILLA AVE, WILLOWS, CA 95988(530) 934-6585(530) 934-6592 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, Dec 18, 2024 (2 updates tracked since 2024).

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About Mr. Timothy Patrick Clark NPPES

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

MR. TIMOTHY PATRICK CLARK (NPI 1659750412) is an individual adult companion provider in Willows, California and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1659750412

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameMR. TIMOTHY PATRICK CLARK

Location Address242 N VILLA AVEWillows, CA 95988-2641

Mailing Address242 N Villa AveWillows, CA 95988-2641 · (530) 934-6585 · Fax (530) 934-6592

Phone(530) 934-6585

Fax(530) 934-6592

Sole ProprietorNo

Enumeration DateMay 27, 2015

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1659750412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

242 N VILLA AVE, Willows, CA 95988

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Other Providers at the Same Location NPPES 20

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

MRS. AMBER JENEESE ARNOLD

Case Manager/Care Coordinator