Camellia Place Healthcare Services Llc

LBN: Camellia Place Healthcare Services Llc
Camellia Place Healthcare Services Llc is an health care organization with primary practice located at 100 Market Sq Ste 12 , Newington CT 06111-2921. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Camellia Place Healthcare Services Llc can be contacted via phone (860) 322-1011, or through Payne, Camille A via phone (860) 322-1011.

Contact Information

Primary practice address
100 Market Sq Ste 12 Newington CT 06111-2921
Phone: (860) 322-1011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Payne, Camille A MPH, APRN, DNP
Phone: (860) 322-1011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1447812250
LBN Legal business name Camellia Place Healthcare Services Llc
DBA Doing business as
Authorized official Payne, Camille A MPH, APRN, DNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2019
Last updated Sep 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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