Clover Care Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLOVER CARE HOME CARE LLC

Practice address

122 Memorial Dr Ste 201
Greer, SC 29650-1517

Phone

(718) 691-3099

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Elimelech Taub

Title

Officer

Phone

(718) 691-3099

Specialties & licenses 1

Addresses

Other names 1

• Stay At Home senior Care of the upstate llc Former legal business name

Locations

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1295513968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 51ST ST APT 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MEMORIAL DR STE 201",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501517",
            "telephone_number": "718-691-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "ELIMELECH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-691-3099"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay At Home senior Care of the upstate llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stay At Home senior Care of the upstate llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Najm Clark
• Shane Clark, A.T.,C.
• Talicia Clarke, NURSE AIDE
• Ernest Earl Clayton
• Carlson Cole Clelland, MSP, CCC-SLP
• Emily Ray Clower, DNP, APRN, CPNP-PC
• Christopher Cobb
• William Augustas Cofer, D.M.D.
• Alexandra Coffey
• Adreaunna Denise Coggins

• In Home Supportive Care Agency in Greer, SC
• Providers in Greer, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.