Worldshine Cloverleaf LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WORLDSHINE CLOVERLEAF LLC

Practice address

110 Thomas Johnson Dr Ste 150
Frederick, MD 21702-4448

Phone

(301) 221-1165

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Kehuang Weng

Title

Cfo

Phone

(301) 221-1165

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1861145393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 CENTURY BLVD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741174",
            "telephone_number": "301-221-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 THOMAS JOHNSON DR STE 150",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024448",
            "telephone_number": "301-221-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLDSHINE CLOVERLEAF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "WENG",
        "authorized_official_first_name": "KEHUANG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-221-1165"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Marie Woodham, MS, BCBA
• Woodland Brae Wellness
• Shelby K Woods, DPT
• Gregory Woodward
• Ann Wright Workmeister, LGPC
• Zoe A Worrell, LCSW-C
• Ivory Wortham, LMSW
• Audra Worthington, CRNP-PMH
• Amy Rigel Wright, P.T.
• Bonnie Wright, LCSW-C

• Adult Day Care Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.