MEDICARE: CLOUDGROW SYSTEMS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1598697187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOUDGROW SYSTEMS LLC

Provider Business Mailing Address
First Line	:	6 RIVER CV
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-3637
Country	:	US
Telephone Number	:	757-817-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 RIVER CV
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-3637
Country	:	US
Telephone Number	:	757-817-2218
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NATHAN ALLEN
Credential	:
Telephone Number	:	757-817-2218

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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