Organization Active NPI

4 Klovers Kitchen LLC

  • Meals Provider
  • Union City, GA
National Provider Identifier
1013821594
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
4 KLOVERS KITCHEN LLC
Practice address
5505 Hall Cir
Union City, GA 30291-1007
Phone
(323) 559-5482
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Minters
Title
Owner
Phone
(323) 559-5482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X NU Primary

Addresses

Primary practice location

5505 Hall Cir
Union City, GA 30291-1007

Mailing address

5505 Hall Cir
Union City, GA 30291-1007
Phone (323) 559-5482

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1013821594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 HALL CIR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911007",
            "telephone_number": "323-559-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 HALL CIR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911007",
            "telephone_number": "323-559-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 KLOVERS KITCHEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "MINTERS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-559-5482"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.