Healthcare Provider Details

I. General information

NPI: 1710843206
Provider Name (Legal Business Name): SMALL TOWN ADULT DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 OLD US 52 STE B
NEW RICHMOND OH
45157-8537
US

IV. Provider business mailing address

1041 OLD US 52 STE B
NEW RICHMOND OH
45157-8537
US

V. Phone/Fax

Practice location:
  • Phone: 513-905-9520
  • Fax: 513-318-0914
Mailing address:
  • Phone: 513-905-9520
  • Fax: 513-318-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARLA PENNINGTON
Title or Position: ADMINSTRATOR
Credential: BSN, RN
Phone: 513-905-9520