Provider Demographics
NPI:1295017481
Name:THE LOVING CLARKS, INC.
Entity Type:Organization
Organization Name:THE LOVING CLARKS, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:713-974-6920
Mailing Address - Street 1:6117 RICHMOND AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-6256
Mailing Address - Country:US
Mailing Address - Phone:713-974-6920
Mailing Address - Fax:713-974-6922
Practice Address - Street 1:6117 RICHMOND AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-6256
Practice Address - Country:US
Practice Address - Phone:713-974-6920
Practice Address - Fax:713-974-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010234253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care