SHANA MARIE MOOSE-CLARK
NPI 1982471066
Home Health in Shaker Heights, OH

Active since December 07, 2023
3686 INGLESIDE RD, SHAKER HEIGHTS, OH 44122(216) 816-8129 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shana Marie Moose-clark NPPES

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

SHANA MARIE MOOSE-CLARK (NPI 1982471066) is an individual home health provider in Shaker Heights, Ohio and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1982471066
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameSHANA MARIE MOOSE-CLARK
Location Address3686 INGLESIDE RDShaker Heights, OH 44122-5056
Mailing Address3686 Ingleside RdShaker Heights, OH 44122-5056 · (216) 816-8129
Sole ProprietorYes
Enumeration DateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1982471066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

3686 INGLESIDE RD, Shaker Heights, OH 44122

Other Providers at the Same Location NPPES

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

Driver
3686 INGLESIDE RD
SHAKER HEIGHTS, OH 44122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982471066, enumerated as an "individual" on December 07, 2023.

The provider is located at 3686 INGLESIDE RD SHAKER HEIGHTS, OH 44122 and the phone number is (216) 816-8129.

Home Health with taxonomy code 251E00000X.