Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clover Lake Management LLC

Organization Assisted Living Facility · NPI 1558810259

Clover Lake Management LLC is an Assisted Living Facility in Carmel, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

838 Fair St
Carmel, NY 10512-3085
Phone: (845) 878-4111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 580F001 (NY)

Record details

NPI number1558810259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Gros — Managing Member · (718) 360-8083
Other names Plaza At Clover Lake
NPI enumeratedSeptember 23, 2016
Last updated in NPPESSeptember 23, 2016
Mailing address838 Fair St, Carmel, NY 10512-3085