Organization Active NPI

Clover Senior Care

  • In Home Supportive Care Agency
  • Corpus Christi, TX
National Provider Identifier
1760781793
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CLOVER SENIOR CARE
Practice address
6721 Riding Wind Dr
Corpus Christi, TX 78414-4055
Phone
(361) 443-7789
Fax
(361) 288-8016
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Jason L Gooding
Title
Administrator
Phone
(361) 443-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6721 Riding Wind Dr
Corpus Christi, TX 78414-4055

Mailing address

6721 Riding Wind Dr
Corpus Christi, TX 78414-4055
Phone (361) 443-7789

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1760781793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 RIDING WIND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144055",
            "telephone_number": "361-443-7789",
            "fax_number": "361-288-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 RIDING WIND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144055",
            "telephone_number": "361-443-7789",
            "fax_number": "361-288-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "GOODING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-443-7789"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.