Clover Meadows Assisted Living Facility

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

License

AL12772 Issued in FL

Legal business name

CLOVER MEADOWS ASSISTED LIVING FACILITY

Practice address

6609 La Jolla St
Orlando, FL 32818-6849

Phone

(407) 656-2443

Fax

(877) 287-9424

NPI assigned

Oct 8, 2016

Last updated

Oct 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ALMARK HEALTH SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Texus Wallace

Title

Administrator

Phone

(407) 656-2443

Specialties & licenses 1

Addresses

Part of

Almark Health Services II

Locations

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1407306954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 EYLEWOOD DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874664",
            "telephone_number": "407-656-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 LA JOLLA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186849",
            "telephone_number": "407-656-2443",
            "fax_number": "877-287-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER MEADOWS ASSISTED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALMARK HEALTH SERVICES, INC",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TEXUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-656-2443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "FL",
            "license": "AL12772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Orlando, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.