Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latisha Clark

Individual provider Home Health Aide · NPI 1104797802

Latisha Clark is a Home Health Aide in Bellevue, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12901 S 29th Pl
Bellevue, NE 68123-3218
Phone: (402) 312-8029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1104797802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address12901 S 29th Pl, Bellevue, NE 68123-3218

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