Healthcare Provider Details

I. General information

NPI: 1306781497
Provider Name (Legal Business Name): CLOVER KIDS PRESCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 E 29TH ST
INDIANAPOLIS IN
46205-4160
US

IV. Provider business mailing address

2423 N KENWOOD AVE
INDIANAPOLIS IN
46208-5725
US

V. Phone/Fax

Practice location:
  • Phone: 317-513-0906
  • Fax:
Mailing address:
  • Phone: 317-513-0906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MONIKIA JONES
Title or Position: DIRECTOR
Credential:
Phone: 317-513-0906