Healthcare Provider Details

I. General information

NPI: 1851239529
Provider Name (Legal Business Name): COMMUNITY LIVING AND SUPPORTIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 ROHRS AVE
NAPOLEON OH
43545-2144
US

IV. Provider business mailing address

128 ROHRS AVE
NAPOLEON OH
43545-2144
US

V. Phone/Fax

Practice location:
  • Phone: 567-264-4020
  • Fax: 567-264-4173
Mailing address:
  • Phone: 567-264-4020
  • Fax: 567-264-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DENNIS HOWARD
Title or Position: D.O.O.
Credential:
Phone: 419-979-3127