Camelot Care Centers, Inc

LBN: Camelot Care Centers, Inc
Camelot Care Centers, Inc is an health care organization with primary practice located at 5901 N Prospect Rd Ste 101 , Peoria IL 61614-4395. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Camelot Care Centers, Inc can be contacted via phone (309) 692-1095, or through Keeler, Jason via phone (630) 773-1985.

Contact Information

Primary practice address
5901 N Prospect Rd Ste 101 Peoria IL 61614-4395
Phone: (309) 692-1095
Fax: (309) 692-1375
Website:
Map and Directions
Authorized official contact:
Name: Keeler, Jason
Phone: (630) 773-1985

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780913756
LBN Legal business name Camelot Care Centers, Inc
DBA Doing business as
Authorized official Keeler, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2009
Last updated Dec 21st, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780913756 NPPES
Illinois MEDICAID 2B05-IPI-141

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