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SHANELL CLARK
NPI 1972958106
Nursing Home Administrator in Oak Park, MI

Active since April 25, 2016
21820 BEVERLY ST, OAK PARK, MI 48237(248) 234-6150 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shanell Clark NPPES

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

SHANELL CLARK (NPI 1972958106) is an individual nursing home administrator provider in Oak Park, Michigan and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1972958106
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameSHANELL CLARK
Location Address21820 BEVERLY STOak Park, MI 48237-2503
Mailing Address21820 Beverly StOak Park, MI 48237-2503 · (248) 234-6150
Phone(248) 234-6150
Sole ProprietorYes
Enumeration DateApril 25, 2016
✔ NPI 1972958106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedChore ProviderTaxonomy 372500000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
21820 BEVERLY ST, Oak Park, MI 48237
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Other Providers at the Same Location NPPES 2

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

FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC
Clinic/Center (Adult Day Care)
21820 BEVERLY ST
OAK PARK, MI 48237
Oakland County (248) 796-7112
FOUNTAIN OF LOVE ASSISTED LIVING INC
Social Worker (Clinical)
21820 BEVERLY ST
OAK PARK, MI 48237
Oakland County (248) 796-7291

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 Shanell Clark's NPI number?

The NPI number for Shanell Clark is 1972958106. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Shanell Clark located?

Shanell Clark practices at 21820 Beverly St, Oak Park, MI 48237. The listed phone number is (248) 234-6150.

What is Shanell Clark's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Shanell Clark was last updated on April 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.