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LATISHA CLARK
NPI 1932714318
Day Training, Developmentally Disabled Services in Indianapolis, IN

Active since September 11, 2020
8109 BLACKGUM CT, INDIANAPOLIS, IN 46236(317) 658-5177 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Latisha Clark NPPES

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

LATISHA CLARK (NPI 1932714318) is an individual day training, developmentally disabled services provider in Indianapolis, Indiana and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1932714318
Entity TypeIndividualFemale
Primary Taxonomy251C00000X
Provider Legal NameLATISHA CLARK
Location Address8109 BLACKGUM CTIndianapolis, IN 46236-8260
Mailing Address8109 Blackgum CtIndianapolis, IN 46236-8260 · (317) 658-5177
Phone(317) 658-5177
Sole ProprietorYes
Enumeration DateSeptember 11, 2020
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1932714318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
8109 BLACKGUM CT, Indianapolis, IN 46236
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Other Identifiers 1

Other00000000IN · Latisha

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 Latisha Clark's NPI number?

The NPI number for Latisha Clark is 1932714318. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Latisha Clark located?

Latisha Clark practices at 8109 Blackgum Ct, Indianapolis, IN 46236. The listed phone number is (317) 658-5177.

What is Latisha Clark's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Latisha Clark was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.