Clove Coach LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CLOVE COACH LLC

Practice address

163 Brookside Farms Rd
Newburgh, NY 12550-3938

Phone

(845) 497-7777

Fax

(845) 497-7696

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Elizabeth Sacco

Title

President

Phone

(845) 497-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1467877464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 CLOVE RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504765",
            "telephone_number": "845-497-7777",
            "fax_number": "845-497-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BROOKSIDE FARMS RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503938",
            "telephone_number": "845-497-7777",
            "fax_number": "845-497-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVE COACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "SACCO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-497-7777"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03083667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Quest (Jules Vision Center)
• Edward C Clearwater, DPT
• Theresa Marie Clearwater, FNP
• Magdalena Clemente
• Evelyn D Clifford
• Cogitare Inc (Laura Van de Laar NPP)
• Maria A Cohen, DMD
• Richard Alan Cohen, R.PH.
• Marie Colla, CASAC-T
• Paul Collins, O.D.

• Non-emergency Medical Transport (VAN) in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.