Provider Demographics
NPI:1407107014
Name:CLERSAINT HOME CARE SERVICES
Entity Type:Organization
Organization Name:CLERSAINT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JEANNETE
Authorized Official - Middle Name:LUCIE
Authorized Official - Last Name:CLERSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-844-1419
Mailing Address - Street 1:432 SAND AVE
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5537
Mailing Address - Country:US
Mailing Address - Phone:407-814-4664
Mailing Address - Fax:407-814-4663
Practice Address - Street 1:432 SAND AVE
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5537
Practice Address - Country:US
Practice Address - Phone:407-814-4664
Practice Address - Fax:407-814-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL693271198385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL693271198Medicaid
FL693271196Medicaid