DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLOVER MANOR INC

MEDICARE: CLOVER MANOR INC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942291281
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLOVER MANOR INC
Provider Business Mailing Address
First Line : 250 GODDARD RD
Second Line : SUITE A
City : LEWISTON
State : ME
Zip : 04240-1000
Country : US
Telephone Number : 207-782-4797
Fax Number : 207-777-3996
Provider Business Practice Location Address
First Line : 440 MINOT AVE
Second Line :
City : AUBURN
State : ME
Zip : 04210-4332
Country : US
Telephone Number : 207-784-3573
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MS. SHERYL A BRADLEY
Credential :
Telephone Number : 207-782-4797
Provider Enumeration Date : 11/04/2005
Last Update Date : 09/09/2013

Similar Medicare Providers

1689561961 — VOP AUBURN LLC
Practice Location Address:
440 MINOT AVE
AUBURN, ME
04210-4332
Practice Phone: 207-784-3573
Practice Fax:
1831387026 — MISS JULIE ANN PRESTON COTA/L
Practice Location Address:
440 MINOT AVE
AUBURN, ME
04210-4332
Practice Phone: 207-784-3573
Practice Fax: 207-782-6733
1326209214 — NICOLE DENISE DESJARDINS MSPT
Practice Location Address:
440 MINOT AVE
AUBURN, ME
04210-4332
Practice Phone: 207-784-3573
Practice Fax:
1326209263 — BERNADETTE M BARR MOTR/L
Practice Location Address:
440 MINOT AVE , REHAB DEPT
AUBURN, ME
04210-4332
Practice Phone: 207-786-0106
Practice Fax:
1851552715 — MISS ANGELA MICHELLE GOSSELIN OTR/L
Practice Location Address:
440 MINOT AVE
AUBURN, ME
04210-4332
Practice Phone: 207-784-3573
Practice Fax: 207-782-6733
1679972335 — HANNAH TURMEL
Practice Location Address:
440 MINOT AVE
AUBURN, ME
04210-4332
Practice Phone: 207-784-3573
Practice Fax:

Directions to “CLOVER MANOR INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.