Active NPI
Clovis Nwagwu
- Chore Provider
- Bloomfield Hills, MI
National Provider Identifier
1104616309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- 803371925
- Practice address
- 4243 Ramsgate LN
Bloomfield Hills, MI 48302-1636 - Phone
- (248) 505-0873
- NPI assigned
- May 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | 803371925 | MI | Primary |
Addresses
Primary practice location
4243 Ramsgate LN
Bloomfield Hills, MI 48302-1636
Mailing address
4301 Orchard Lake Rd Ste 180
West Bloomfield, MI 48323-1684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803371925 | MI | MD | Chore Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sydney Healthcare LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Respite Care
- Bloomfield Hills, MI
- NPI 1386435568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1104616309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 ORCHARD LAKE RD STE 180",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 RAMSGATE LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021636",
"telephone_number": "248-505-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAGWU",
"first_name": "CLOVIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-09",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "MI",
"license": "803371925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.