Provider Demographics
NPI:1437581667
Name:CLERMONT SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:CLERMONT SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-536-4058
Mailing Address - Street 1:2085 JAMES E SAULS SR DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-3255
Mailing Address - Country:US
Mailing Address - Phone:513-724-1255
Mailing Address - Fax:513-536-4019
Practice Address - Street 1:2085 JAMES E SAULS SR DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-3255
Practice Address - Country:US
Practice Address - Phone:513-724-1255
Practice Address - Fax:513-536-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care