Camelot Community Care, Inc

LBN: Camelot Community Care, Inc
Camelot Community Care, Inc is an health care organization with primary practice located at 1801 Se Hillmoor Dr , Port St Lucie FL 34952-7553. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Camelot Community Care, Inc can be contacted via phone (561) 649-0877, or through Allen, Jana via phone (727) 593-0003.

Contact Information

Primary practice address
1801 Se Hillmoor Dr Port St Lucie FL 34952-7553
Phone: (561) 649-0877
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Jana
Phone: (727) 593-0003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1306512397
LBN Legal business name Camelot Community Care, Inc
DBA Doing business as
Authorized official Allen, Jana
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306512397 NPPES
Florida MEDICAID 070592602

Popular Providers