POARCHE' CLARK (NPI# 1578162889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578162889 |
| Entity Type | Individual |
| Full Name | POARCHE' CLARK |
| Practice Address |
1738 E Cortez Dr Casa Grande AZ 85122-6318 |
| Practice Telephone | 5204501461 |
| Mailing Telephone | 5204501461 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | AZ | Agencies |
| Street Address |
1738 E CORTEZ DR |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487070629 | Daniele D Hall | In Home Supportive Care | 10335 N Chemehlevi Dr, Casa Grande, AZ 85122-8113 | 2014-03-12 |
| 1396015723 | Harc Human Services, LLC | In Home Supportive Care | 1565 N Wildflower Dr Apt 804, Casa Grande, AZ 85122-6065 | 2012-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174809 | Calwood Corporation | In Home Supportive Care | 7225 N Mona Lisa Rd Ste 204, Tucson, AZ 85741-2598 | 2020-11-04 |
| 1154921278 | Md Triage | In Home Supportive Care | 20235 N Cave Creek Rd Ste 104-214, Phoenix, AZ 85024-4424 | 2020-10-28 |
| 1679172167 | Tsp Holdings LLC | In Home Supportive Care | 3040 N Campbell Ave Ste 110, Tucson, AZ 85719-7317 | 2020-10-26 |
| 1912507344 | Sparrow Staffing Services | In Home Supportive Care | 900 W Chandler Blvd Ste A-7, Chandler, AZ 85225-4908 | 2020-10-26 |
| 1164021036 | Healthy Homes LLC | In Home Supportive Care | 9280 S Kyrene Rd Ste 106, Tempe, AZ 85284-2952 | 2020-10-22 |
| 1003415910 | Helpful Hands Care LLC | In Home Supportive Care | 926 W Julie Dr, Tempe, AZ 85283-2771 | 2020-10-21 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1700484086 | Award Homes LLC | In Home Supportive Care | 5703 S Palm Dr, Tempe, AZ 85283-2918 | 2020-10-09 |
| 1326655978 | Rcs Home Care LLC | In Home Supportive Care | 6499 S Kings Ranch Rd Ste 8, Gold Canyon, AZ 85118-2920 | 2020-09-28 |
| 1679188270 | Rectitude LLC | In Home Supportive Care | 428 S Gilbert Rd Ste 106-2, Gilbert, AZ 85296-2263 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.