Organization
CLOVER LLC
Active
Other names
Clover Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE TIDWELL RN (OWNER)
(844) 366-2587
Entity
Organization
Contact information
Practice address
9765 RANDALL DR STE C, CARMEL, IN 46280-1817
(844) 366-2587
(317) 536-3497
Mailing address
9765 RANDALL DR STE C, CARMEL, IN 46280-1817
(844) 366-2587
(317) 536-3497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
18-013565
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006917
—
IN
05
—
300071957
—
IN
Enumeration date
08/01/2018
Last updated
10/11/2023
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