PAMELA CLARK (NPI# 1679126791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679126791 |
| Entity Type | Individual |
| Full Name | PAMELA CLARK |
| Practice Address |
2519 N Holland Sylvania Rd Toledo OH 43615-2720 |
| Mailing Address |
1319 Thatcher Dr Toledo OH 43606-4258 |
| Practice Telephone | 4198434299 |
| Mailing Telephone | 4195091937 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 3110958 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3110958 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162269 | Pamela Mishay Clark | Behavioral Analyst | 6410 N Flores St, San Antonio, TX 78212-1125 | 2018-01-16 |
| 1609290675 | Pamela Clark | Registered Nurse | 10309 Leicester Dr, Yukon, OK 73099-7811 | 2014-02-12 |
| 1942554910 | Pamela None Clark | Marriage & Family Therapist | 3440 Harrison Blvd., Suite 100, Ogden, UT 84403 | 2012-10-30 |
| 1306967187 | Pamela Dawn Clark | Nurse Practitioner | 540 10th St Ste 140, Floresville, TX 78114-3167 | 2007-04-02 |
| 1306866264 | Pamela Clark | Pathology | Uva Old Medical School, Hospital Drive, Charlottesville, VA 22908-0001 | 2006-07-20 |
| 1730164393 | Pamela Morris Clark | Psychologist | 46 Fletcher Ave, Merrick, NY 11566-2459 | 2005-12-07 |
| 1659374221 | Pamela Clark | Dentist | 2360 County Road 94, Ste 102, Pearland, TX 77584-4884 | 2005-05-27 |
| 1306256920 | Pamela Clark | Pharmacist | 2980 Wilder Rd, Bay City, MI 48706-9213 | 2014-05-05 |
| 1003230681 | Pamela Clark | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-18 |
| 1811231830 | Pamela Kay Clark | Nurse Practitioner | 1311a N Mildred Rd, Cortez, CO 81321-2231 | 2012-11-15 |
| Street Address |
2519 N HOLLAND SYLVANIA RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295036101 | Luther Woods | Case Management | 2519 N Holland Sylvania Rd, Toledo, OH 43615-2720 | 2010-11-09 |
| 1700187606 | Luther Crest Toledo | Case Management | 2519 N Holland Sylvania Rd, Toledo, OH 43615-2720 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
| 1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
| 1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
| 1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
| 1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
| 1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
| 1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
| 1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
| 1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
| Find all providers in zip 43615 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214399 | Enhancing Abilities | Home Health | 3454 Oak Alley Ct Ste 210, Toledo, OH 43606-1370 | 2020-10-27 |
| 1043819501 | Melanie Marieamelia Garcia | Home Health | 2744 Provincetowne Dr, Toledo, OH 43613-1003 | 2020-10-25 |
| 1568060382 | Thompson Total Home Care | Home Health | 2708 W Sylvania Ave, Toledo, OH 43613-4322 | 2020-10-14 |
| 1508463209 | Liberty Group Foundation, LLC | Home Health | 1002 Waverly Ave, Toledo, OH 43607-3736 | 2020-10-06 |
| 1518564491 | Nami Home Care Company | Home Health | 5533 Southwyck Blvd Ste 101, Toledo, OH 43614-1505 | 2020-10-05 |
| 1639788565 | Alwayz Here4 U Home Care | Home Health | 5810 Southwyck Blvd Ste 205k, Toledo, OH 43614-1546 | 2020-07-27 |
| 1386262731 | Teonna M Harvey | Home Health | 2551 Grantwood Dr, Toledo, OH 43613-3808 | 2020-07-13 |
| 1134746001 | Black Rose Home-care Solutions | Home Health | 298 W Park St, Toledo, OH 43608-1728 | 2020-06-26 |
| 1841816121 | Sandy Lee Direct Care Agency | Home Health | 5015 Yermo Dr, Toledo, OH 43613-2743 | 2020-06-22 |
| 1336765270 | Renyssa N Gray | Home Health | 1644 Shady Dr, Toledo, OH 43612-1531 | 2020-06-16 |
| Find all providers in TOLEDO | ||||
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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.