Healthcare Provider Details

I. General information

NPI: 1437581667
Provider Name (Legal Business Name): CLERMONT SENIOR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 JAMES E SAULS SR DR
BATAVIA OH
45103-3255
US

IV. Provider business mailing address

2085 JAMES E SAULS SR DR
BATAVIA OH
45103-3255
US

V. Phone/Fax

Practice location:
  • Phone: 513-724-1255
  • Fax: 513-536-4019
Mailing address:
  • Phone: 513-724-1255
  • Fax: 513-536-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. WILLIAM DEHASS
Title or Position: CEO
Credential:
Phone: 513-536-4058