Camelot Of Tennessee

LBN: Sequel Schools Llc Dba Kingston Academy
Camelot Of Tennessee is an health care organization with primary practice located at 183 Fiddler'S Lane , Kingston TN 37763-4020. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Sequel Schools Llc Dba Kingston Academy can be contacted via phone (865) 376-2296, or through Hembree, Russell Lee via phone (865) 376-2296.

Contact Information

Primary practice address
183 Fiddler'S Lane Kingston TN 37763-4020
Phone: (865) 376-2296
Fax: (865) 376-0369
Website:
Map and Directions
Authorized official contact:
Name: Hembree, Russell Lee Bachelor of Arts (BA)
Phone: (865) 376-2296

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X L 2(37)M3-016-1155 Tennessee
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X L000000008435 Tennessee

Profile Details

NPI number 1245398908
LBN Legal business name Sequel Schools Llc Dba Kingston Academy
DBA Doing business as Camelot Of Tennessee
Authorized official Hembree, Russell Lee Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Sep 8th, 2011 - about 14 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 1245398908 NPPES
Tennessee MEDICAID 1440370
Tennessee MEDICAID 3810000021

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