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Clover Lake Management LLC — NPI 1558810259, Carmel, NY | NPI Central

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NPI 1558810259

OrganizationActive

Clover Lake Management LLC

NPI 1558810259 · Assisted Living Facility · Carmel, NY

Provider details

NPI number: 1558810259
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Charles Gros, Managing Member(718) 360-8083
License: 580F001 (NY)

Specialties & taxonomies

Assisted Living FacilityPrimary310400000XLicense 580F001 (NY)
Nursing & Custodial Care Facilities

Practice location

838 Fair St

Carmel, NY 10512-3085

Phone: (845) 878-4111

Approximate (ZIP-level) locationGet directions

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Mailing address

838 Fair St

Carmel, NY 10512-3085

Other names (DBA / former)

Doing business as: Plaza at Clover Lake

Registry dates

Enumerated: 2016-09-23
Last updated: 2016-09-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.