CLOVERDALE SENIOR HOUSING
NPI 1649784620
Custodial Care Facility - Adult Care Home in Marshall, MI

Q: What is Cloverdale Senior Housing's NPI number?

The NPI number for Cloverdale Senior Housing is 1649784620. It was assigned to this organization in the NPPES registry on November 28, 2017.

Q: What is Cloverdale Senior Housing's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since November 28, 2017

557 COSMOPOLITAN, MARSHALL, MI 49068(269) 832-7894 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017 (2 updates tracked since 2017).

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About Cloverdale Senior Housing NPPES

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

CLOVERDALE SENIOR HOUSING (NPI 1649784620) is a healthcare organization registered as an adult care home in Marshall, Michigan and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Marshall and lists Tim Stoll, Owner, as its authorized official.

NPPES Registry Identity

NPI1649784620

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCLOVERDALE SENIOR HOUSING

Location Address557 COSMOPOLITANMarshall, MI 49068-1281

Mailing Address729 Ladyman RdSherwood, MI 49089-9100 · (269) 832-7894

Phone(269) 832-7894

Organization SubpartNo

Authorized OfficialTim StollOwner · (269) 832-7894

Enumeration DateNovember 28, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1649784620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

557 COSMOPOLITAN, Marshall, MI 49068

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Secondary Practice Location 1

Location 110191 17 Mile RdMarshall, MI 49068-9796 · Phone (269) 832-7894

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 Cloverdale Senior Housing's NPI number?

The NPI number for Cloverdale Senior Housing is 1649784620. It was assigned to this organization in the NPPES registry on November 28, 2017.

Where is Cloverdale Senior Housing located?

Cloverdale Senior Housing is located at 557 Cosmopolitan, Marshall, MI 49068. The listed phone number is (269) 832-7894.

What is Cloverdale Senior Housing's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Cloverdale Senior Housing was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.