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CLOVER HOUSE, LLC
NPI 1043541915
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rome, GA

Active since January 16, 2010
496 N AVERY RD NW, ROME, GA 30165(706) 295-2388(706) 413-1719 Get Directions Write a Review

NPPES record last updated: January 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clover House, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER HOUSE, LLC (NPI 1043541915) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Rome, Georgia and active in the NPI registry since January 2010. The organization lists Darrell A Creel, Clover House Home Manager, as its authorized official.

NPPES Registry Identity

NPI1043541915
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCLOVER HOUSE, LLC
Location Address496 N AVERY RD NWRome, GA 30165-7970
Mailing Address496 N Avery Rd NwRome, GA 30165-7970 · (706) 295-2388 · Fax (706) 413-1719
Phone(706) 295-2388
Fax(706) 413-1719
Organization SubpartNo
Authorized OfficialDarrell A CreelClover House Home Manager · (706) 295-2388
Enumeration DateJanuary 16, 2010
✔ NPI 1043541915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in GA · 057-01-039-1
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
496 N AVERY RD NW, Rome, GA 30165
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Other Identifiers 1

Medicaid247792228AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover House, LLC's NPI number?

The NPI number for Clover House, LLC is 1043541915. It was assigned to this organization in the NPPES registry on January 16, 2010.

Where is Clover House, LLC located?

Clover House, LLC is located at 496 N Avery Rd NW, Rome, GA 30165. The listed phone number is (706) 295-2388.

What is Clover House, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Clover House, LLC was last updated on January 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.