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TIYA SHAVON CLARK
NPI 1700524402
Home Health Aide in Lorain, OH

Active since May 23, 2022
1816 COOPER FOSTER PARK RD W APT 202, LORAIN, OH 44053(440) 538-9993 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, May 23, 2022 (2 updates tracked since 2022).

About Tiya Shavon Clark NPPES

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

TIYA SHAVON CLARK (NPI 1700524402) is an individual home health aide in Lorain, Ohio and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1700524402
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameTIYA SHAVON CLARK
Location Address1816 COOPER FOSTER PARK RD W APT 202Lorain, OH 44053-3604
Mailing Address1816 Cooper Foster Park Rd W Apt 202Lorain, OH 44053-3604 · (440) 538-9993
Phone(440) 538-9993
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1700524402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1816 COOPER FOSTER PARK RD W APT 202, Lorain, OH 44053
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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 Tiya Clark's NPI number?

The NPI number for Tiya Clark is 1700524402. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Tiya Clark located?

Tiya Clark practices at 1816 Cooper Foster Park Rd W Apt 202, Lorain, OH 44053. The listed phone number is (440) 538-9993.

What is Tiya Clark's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Tiya Clark was last updated on November 7, 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.