Camelot Community Care, Inc

LBN: Camelot Community Care, Inc
Camelot Community Care, Inc is an health care organization with primary practice located at 1410 Tech Blvd , Tampa FL 33619-7865. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Foster Care Agency. Agencies / Foster Care Agency is the primary health care specialty. Camelot Community Care, Inc can be contacted via phone (813) 635-9765, or through Allen, Jana via phone (727) 593-0003.

Contact Information

Primary practice address
1410 Tech Blvd Tampa FL 33619-7865
Phone: (813) 635-9765
Fax: (813) 635-9725
Website:
Map and Directions
Authorized official contact:
Name: Allen, Jana
Phone: (727) 593-0003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MH 7500 Florida
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1639406093
LBN Legal business name Camelot Community Care, Inc
DBA Doing business as
Authorized official Allen, Jana
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2009
Last updated Jul 13th, 2021 - about 4 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 1639406093 NPPES
Florida MEDICAID 070590000

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