Healthcare Provider Details

I. General information

NPI: 1316863673
Provider Name (Legal Business Name): CLAIREMONT MANAGEMENT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6052 BROOKLYN AVE
SAN DIEGO CA
92114-2420
US

IV. Provider business mailing address

4540 KEARNY VILLA RD STE 105
SAN DIEGO CA
92123-1564
US

V. Phone/Fax

Practice location:
  • Phone: 619-827-1886
  • Fax: 858-926-7382
Mailing address:
  • Phone: 619-827-1886
  • Fax: 858-926-7382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ZHIKE PRUETT
Title or Position: OWNER
Credential:
Phone: 619-827-1886