Camelot Care Centers, Llc
LBN: Camelot Care Centers, Llc
Camelot Care Centers, Llc is an health care organization with primary practice located at 2396 W Nebraska Ave , Peoria IL 61604-3111. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Camelot Care Centers, Llc can be contacted via phone (309) 676-6305, or through Patel, Ronica via phone (630) 773-1985.
Contact Information
Primary practice address
2396 W Nebraska Ave
Peoria IL 61604-3111
Phone: (309) 676-6305
Fax: (309) 676-6519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1700149051 |
|---|---|
| LBN Legal business name | Camelot Care Centers, Llc |
| DBA Doing business as | |
| Authorized official | Patel, Ronica |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 21st, 2012 |
| Last updated | Jun 4th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700149051 | NPPES |
| Illinois | MEDICAID | 2B05-IPI-141 |
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