MR. ERIC B CLARK JR.
NPI 1104711183
Nurse's Aide in Omaha, NE
NPI Status: Active since June 10, 2025
Contact Information
670 S 69TH ST
OMAHA, NE
ZIP 68106
Phone: (402) 612-8805
Fax: (402) 612-8805
This NPI profile has been added to the NPI registry within the last 30 days.
- Individual
- Male
- Nurse's Aide
About ERIC CLARK
This page provides the complete NPI Profile along with additional information for Eric Clark, a provider established in Omaha, Nebraska with a medical specialization in Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1104711183 assigned on June 2025. The practitioner's primary taxonomy code is 376K00000X. The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1104711183
- Provider Name
- MR. ERIC B CLARK JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 670 S 69TH ST OMAHA, NE 68106
- Location Phone
- (402) 612-8805
- Location Fax
- (402) 612-8805
- Mailing Address
- 4060 VINTON ST STE 100 OMAHA, NE 68105
- Mailing Phone
- (402) 991-9880
- Mailing Fax
- (402) 612-8805
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-10-2025
- Last Update Date
- 06-10-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse's Aide
- Taxonomy Code
- 376K00000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Reviews for MR. ERIC B CLARK JR.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 7 | 1 | 1 | 1 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 14 | 1 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 4 + 1 + 2 + 1 + 1 + 6 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1104711183 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104711183, enumerated in the NPI registry as an "individual" on June 10, 2025
The provider is located at 670 S 69th St Omaha, Ne 68106 and the phone number is (402) 612-8805
The provider's speciality is Nurse's Aide with taxonomy code 376K00000X
This NPI record was last updated on June 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.