Active NPI
Clossman Catering LLC
- Home Delivered Meals
- Hamilton, OH
National Provider Identifier
1316125255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- CLOSSMAN CATERING LLC
- Practice address
- 3725 Symmes Rd
Hamilton, OH 45015-3305 - Phone
- (513) 942-7744
- Fax
- (513) 942-7788
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Silvers
- Title
- Chief Compliance Officer & General
- Phone
- (727) 828-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
3725 Symmes Rd
Hamilton, OH 45015-3305
Mailing address
12200 32ND Court North
Attn: Compliance Department
St Petersburg, FL 33716-1847
Phone (727) 828-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141662 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3725 Symmes Rd
Hamilton, OH 45015
Phone (513) 942-7744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1316125255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 32ND COURT NORTH",
"address_2": "ATTN: COMPLIANCE DEPARTMENT",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161847",
"telephone_number": "727-828-8585",
"fax_number": "727-571-1652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 SYMMES RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450153305",
"telephone_number": "513-942-7744",
"fax_number": "513-942-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOSSMAN CATERING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "SILVERS",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER & GENERAL",
"authorized_official_telephone_number": "727-828-8585"
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141662",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.