Camelot Terrace, Inc.

LBN: Camelot Terrace, Inc.
Camelot Terrace, Inc. is an health care organization with primary practice located at 516 W Frech St , Streator IL 61364-1216. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Camelot Terrace, Inc. can be contacted via phone (815) 672-2600, or through Lerner, Michael via phone (815) 672-2600.

Contact Information

Primary practice address
516 W Frech St Streator IL 61364-1216
Phone: (815) 672-2600
Fax: (815) 672-2282
Website:
Map and Directions
Authorized official contact:
Name: Lerner, Michael
Phone: (815) 672-2600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0043877 Illinois

Profile Details

NPI number 1831122472
LBN Legal business name Camelot Terrace, Inc.
DBA Doing business as
Authorized official Lerner, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Feb 9th, 2009 - about 16 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 1831122472 NPPES
Illinois Other 0043877 IL DEPT. PUBLIC HEALTH NU

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