Provider Demographics
NPI:1063249969
Name:CLOVER CARE COMPANY, LLC.
Entity type:Organization
Organization Name:CLOVER CARE COMPANY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOMERO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:830-968-1410
Mailing Address - Street 1:3426 TX-1604 LOOP
Mailing Address - Street 2:STE. 109
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2359
Mailing Address - Country:US
Mailing Address - Phone:830-968-1410
Mailing Address - Fax:
Practice Address - Street 1:3426 TX-1604 LOOP
Practice Address - Street 2:STE. 109
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2359
Practice Address - Country:US
Practice Address - Phone:830-968-1410
Practice Address - Fax:210-251-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty