Organization Active NPI

Clover Family Services LLC

  • Day Training/Habilitation Specialist
  • Janesville, WI
National Provider Identifier
1780444000
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
CLOVER FAMILY SERVICES LLC
Practice address
23 W Milwaukee St
Janesville, WI 53548-2981
Phone
(608) 448-6116
Fax
(608) 544-8110
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Ashlee R Glowacki, MANPI 1699492496
Title
Ceo/Owner
Phone
(608) 218-4462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Day Training/Habilitation Specialist 373H00000X NU Primary
Respite Care Camp 385HR2050X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

23 W Milwaukee St
Janesville, WI 53548-2981

Mailing address

21 W Milwaukee St # 103
Janesville, WI 53548-2911
Phone (608) 218-4462

National Provider Directory

National Provider Directory

Locations

21 W Milwaukee St
#103
Janesville, WI 53548

23 W Milwaukee St
Janesville, WI 53548
Phone (608) 448-6116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1780444000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MILWAUKEE ST # 103",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482911",
            "telephone_number": "608-218-4462",
            "fax_number": "608-544-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W MILWAUKEE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482981",
            "telephone_number": "608-448-6116",
            "fax_number": "608-544-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "GLOWACKI",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "608-218-4462",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.