Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Black Clover Holdings LLC

Q: What is the NPI number for Black Clover Holdings LLC?

The NPI for Black Clover Holdings LLC is 1063397867, a Type 2 (organization) record in the CMS NPPES registry.

General Practice Physician in Granger, IN · enumerated 2025 · authorized official Joshua Lederer, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063397867

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Registry record

Entity type Organization (Type 2)

Legal business name Black Clover Holdings LLC

Practice address 7225 Heritage Square Dr Ste 240, Granger, IN, 46530

Phone (574) 369-9102

Enumeration date Aug 11, 2025

Last updated in NPPES Aug 11, 2025

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joshua Lederer

Title Partner

Phone (574) 369-9102

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Black Clover Holdings LLC?

NPPES lists Joshua Lederer (Partner) as the authorized official for this organization.

What is the NPI number for Black Clover Holdings LLC?

The NPI for Black Clover Holdings LLC is 1063397867, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-11.