Individual provider · Type 1 NPI
Shaheda Clark
Adult Companion · South Bend, IN
NPI number
1366323362
Active
Practice location
414 Haney Ave
South Bend, IN 46613-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Companion Primary | 372600000X | None listed |
Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
About NPI 1366323362
Shaheda Clark's National Provider Identifier is 1366323362, issued on Sep 8, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in South Bend, IN. The record was last updated on Sep 8, 2025.