Clover Manor Inc

LBN: Clover Manor Inc
Clover Manor Inc is an health care organization with primary practice located at 440 Minot Ave , Auburn ME 04210-4332. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clover Manor Inc can be contacted via phone (207) 784-3573, or through Bradley, Sheryl A via phone (207) 782-4797.

Contact Information

Primary practice address
440 Minot Ave Auburn ME 04210-4332
Phone: (207) 784-3573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Sheryl A
Phone: (207) 782-4797

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1942291281
LBN Legal business name Clover Manor Inc
DBA Doing business as
Authorized official Bradley, Sheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 9th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942291281 NPPES
Maine MEDICAID 106170100
Maine MEDICAID 106170000
Maine MEDICAID 106170002
Maine MEDICAID 106170001

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