Individual provider · Type 1 NPI

Chanelle Clark

Home Health Agency · Newberry, FL

NPI number 1215872148 Active

Practice location

480 NW 146th Dr Apt 177
Newberry, FL 32669-2939

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone 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 1215872148

Chanelle Clark's National Provider Identifier is 1215872148, issued on Apr 20, 2026. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Newberry, FL. The record was last updated on Apr 20, 2026.