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NPI Code Detail

MEDICARE: CLARITY CARELLC

MEDICARE: CLARITY CARELLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1760285498
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARITY CARELLC
Provider Business Mailing Address
First Line : 4718 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4718 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4971
Country : US
Telephone Number : 260-460-0432
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. HUGO ALBERTO MATA JR.
Credential :
Telephone Number : 260-460-0432
Provider Enumeration Date : 03/28/2025
Last Update Date : 03/28/2025

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Directions to “CLARITY CARELLC ” Practice Location

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