Provider Demographics
NPI:1417221615
Name:CLSRS INC
Entity Type:Organization
Organization Name:CLSRS INC
Other - Org Name:COMFORT KEEPERS 795
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-302-5131
Mailing Address - Street 1:5083 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2771
Mailing Address - Country:US
Mailing Address - Phone:615-302-5131
Mailing Address - Fax:
Practice Address - Street 1:5083 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2771
Practice Address - Country:US
Practice Address - Phone:615-302-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000009547253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care