Individual provider · Type 1 NPI

Latisha Clark

Home Health Agency · Omaha, NE

NPI number 1114808680 Active

Practice location

3525 N 37th St
Omaha, NE 68111-2639

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: 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 organ…

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About NPI 1114808680

Latisha Clark's National Provider Identifier is 1114808680, issued on Sep 10, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Omaha, NE. The record was last updated on Sep 10, 2025.