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General NPI Number Information
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NPI Number | 1063249969
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Entity Type | Organization
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Legal Business Name | CLOVER CARE COMPANY, LLC.
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 29620 I-10 STE. 99
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 726-248-0863
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Fax | 210-251-3978
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Provider Business Mailing Address
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Address Line | 29620 I-10 STE. 99
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 726-248-0863
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Fax | 210-251-3978
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HOMERO MORALES JR.
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Credential | MBA
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Telephone | 830-968-1410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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