Camelot Care Home 3

LBN: Camelot Senior Living, Inc.
Camelot Care Home 3 is an health care organization with primary practice located at 8604 Banff Vista Dr , Elk Grove CA 95624-1708. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Camelot Senior Living, Inc. can be contacted via phone (916) 803-1955, or through Dahlquist, Scott Emerson via phone (916) 803-1955.

Contact Information

Primary practice address
8604 Banff Vista Dr Elk Grove CA 95624-1708
Phone: (916) 803-1955
Fax: (916) 685-6343
Website:
Map and Directions
Authorized official contact:
Name: Dahlquist, Scott Emerson
Phone: (916) 803-1955

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X California

Profile Details

NPI number 1932310646
LBN Legal business name Camelot Senior Living, Inc.
DBA Doing business as Camelot Care Home 3
Authorized official Dahlquist, Scott Emerson
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Aug 22nd, 2020 - 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 1932310646 NPPES
California MEDICAID RCF00016F

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