RENITA CLARK (NPI# 1184872442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184872442 |
Entity Type | Individual |
Full Name | RENITA CLARK |
Credential | LPN |
Practice Address |
12940 Fairhill Rd Ste 71 Shaker Hts OH 44120-5525 |
Practice Telephone | 2169048623 |
Mailing Telephone | 2169048623 |
Enumeration Date | 2008-08-28 |
Last Update Date | 2011-06-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 164W00000X | Licensed Practical Nurse | 3085432 | OH | Nursing Service Providers |
Y | 164W00000X | Licensed Practical Nurse | PN126160 | OH | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 3085432 | 05 |
Street Address |
12940 FAIRHILL RD STE 71 |
City | SHAKER HTS |
State | OH |
Zip Code | 44120-5525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
Find all providers in zip 44120 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760917124 | Martia Bell | Licensed Practical Nurse | 18526 Scottsdale Blvd, Shaker Hts, OH 44122-6410 | 2017-04-24 |
1932537339 | Tiffany Marie Jones | Licensed Practical Nurse | 3528 Norwood Rd, Shaker Hts, OH 44122-4968 | 2013-10-22 |
1306273008 | Particia Rawls | Licensed Practical Nurse | 3304 Aberdeen Rd, Shaker Hts, OH 44120-3328 | 2013-09-26 |
1508292509 | Kelly Dannette Rahmon | Licensed Practical Nurse | 13660 Fairhill Rd Apt 201, Shaker Hts, OH 44120-1261 | 2013-09-23 |
1558704858 | Brittney Denise Webb | Licensed Practical Nurse | 18506 Chagrin Blvd, Shaker Hts, OH 44122-4851 | 2013-04-17 |
1134487069 | Tanya Denise Tolliver | Licensed Practical Nurse | 18912 Scottsdale Blvd, Shaker Hts, OH 44122-6414 | 2012-04-28 |
1891937009 | William Leon Kirksey | Licensed Practical Nurse | 2575 Kemper Rd, Apt A-2, Shaker Hts, OH 44120-1276 | 2009-04-02 |
1760838106 | Sylvia Elizabeth Brock Williams (smith) | Licensed Practical Nurse | 16781 Chagrin Blvd, 172, Shaker Hts, OH 44120-3721 | 2016-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
Find all providers with the same taxonomy |
City | SHAKER HTS |
Zip Code | 44120 |
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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.