IndividualActive
Phillip Clark
NPI 1053912451 · Home Health Aide · Longs, SC
Phillip Clark is a Home Health Aide provider in Longs, SC (NPI 1053912451).
Provider details
- NPI number
- 1053912451
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1264
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2126 Highway 9 E Unit 5b
Longs, SC 29568-5725
Phone: (843) 353-8664
Fax: (843) 485-0047
Street-level locationGet directions
Mailing address
3988 Tybre Ct
Little River, SC 29566-8483
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Frequently asked questions
- What is Phillip Clark's NPI number?
- Phillip Clark's National Provider Identifier (NPI) is 1053912451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Clark's specialty?
- Phillip Clark is listed in the NPPES registry with a primary specialty of Home Health Aide (Nursing Service Related Providers).
- Where is Phillip Clark located?
- Phillip Clark's practice location on file with NPPES is 2126 Highway 9 E Unit 5b, Longs, SC 29568-5725.
- What is Phillip Clark's phone number?
- The practice phone number listed in the NPPES registry for Phillip Clark is (843) 353-8664.
- Is Phillip Clark's NPI active?
- Yes — Phillip Clark's NPI (1053912451) is active in the NPPES registry as of the last update on 2020-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.