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CLOVERDALE INN INC
NPI 1508743584
Assisted Living Facility in Lutz, FL

Active since August 20, 2025
1114 W COUNTY LINE RD, LUTZ, FL 33558(813) 949-8999 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cloverdale Inn Inc NPPES

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

CLOVERDALE INN INC (NPI 1508743584) is a healthcare organization registered as an assisted living facility in Lutz, Florida and active in the NPI registry since August 2025. The organization lists Stephanie Wells, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508743584
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLOVERDALE INN INC
Location Address1114 W COUNTY LINE RDLutz, FL 33558-5032
Mailing Address1114 W County Line RdLutz, FL 33558-5032 · (813) 949-8999
Phone(813) 949-8999
Organization SubpartNo
Authorized OfficialStephanie WellsAdministrator · (813) 598-7628
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1508743584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1114 W COUNTY LINE RD, Lutz, FL 33558
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE WELLS
Assisted Living Facility
1114 W COUNTY LINE RD
LUTZ, FL 33558
Hillsborough County (813) 949-8999

Frequently Asked Questions

What is CLOVERDALE INN INC's NPI number?

The NPI number assigned to this healthcare provider is 1508743584, enumerated as an "organization" on August 20, 2025.

Where is the provider located?

The provider is located at 1114 W COUNTY LINE RD LUTZ, FL 33558 and the phone number is (813) 949-8999.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.