Individual provider · Type 1 NPI

Crystal A. Clark, CMA

Personal Care Attendant · Columbus, OH

NPI number 1639443658 Active

Practice location

331 Jamestown Ct
Columbus, OH 43228-4030

Mailing address

PO Box 2892
Columbus, OH 43216-2892

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Adult Companion 372600000XNone listed
Attendant Care Provider 3747A0650XNone listed
Personal Care Attendant Primary 3747P1801XNone listed
Homemaker 376J00000XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1639443658

Crystal A. Clark, CMA's National Provider Identifier is 1639443658, issued on Mar 8, 2012. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Columbus, OH. The record was last updated on Mar 9, 2012.