PATRICE L CLARK (NPI# 1003328931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003328931 |
| Entity Type | Individual |
| Full Name | PATRICE L CLARK |
| Practice Address |
380 S Portage Path Akron OH 44320-2326 |
| Practice Telephone | 3303154109 |
| Mailing Telephone | 3303154109 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023353042 | Patrice Clark | Occupational Therapist | 11838 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2413 | 2012-12-02 |
| Street Address |
380 S PORTAGE PATH |
| City | AKRON |
| State | OH |
| Zip Code | 44320-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235401688 | Marcus Scott Harhager | Counselor | 380 S Portage Path, Akron, OH 44320-2326 | 2012-02-01 |
| 1376169136 | Mary Colleen Walters | Licensed Practical Nurse | 380 S Portage Path, Akron, OH 44320-2326 | 2020-06-17 |
| 1144845223 | Jerald Hatcher | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2020-06-15 |
| 1952922585 | Ellen Howat | Counselor | 380 S Portage Path, Akron, OH 44320-2326 | 2020-05-05 |
| 1548806698 | Bobbi Harvath | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-11-25 |
| 1003452616 | Lon Mason | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-11-19 |
| 1215578471 | Edward L Humphrey | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-09-30 |
| 1518515709 | Patricia Marie Sense | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-08-30 |
| 1447807243 | Danielle M Tscherne | Counselor | 380 S Portage Path, Akron, OH 44320-2326 | 2019-08-26 |
| 1720640709 | Nicholas Glenn Barracato | Community Health Worker | 380 S Portage Path, Akron, OH 44320-2326 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1205320108 | Dwynica S Pendleton | Case Manager/Care Coordinator | 1176 Cordova Ave, Akron, OH 44320 | 2018-06-15 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| Find all providers in zip 44320 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699037531 | Akron Community Development Assn | Substance Abuse Rehabilitation Facility | 1293 Copley Rd, Akron, OH 44320-2766 | 2012-06-15 |
| 1760576565 | Interval Brotherhood Homes, Inc. | Substance Abuse Rehabilitation Facility | 3445 S Main St, Akron, OH 44319-3028 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.