Camelot Care Center

LBN: Witham Memorial Hospital
Camelot Care Center is an health care organization with primary practice located at 1555 Commerce Dr , Logansport IN 46947-1555. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Nursing Care, Pediatric. Nursing & Custodial Care Facilities / Nursing Care, Pediatric is the primary health care specialty. Witham Memorial Hospital can be contacted via phone (574) 753-0404, or through Braverman, Kelly via phone (765) 485-8100.

Contact Information

Primary practice address
1555 Commerce Dr Logansport IN 46947-1555
Phone: (574) 753-0404
Fax: (574) 722-4638
Website:
Map and Directions
Authorized official contact:
Name: Braverman, Kelly
Phone: (765) 485-8100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 06 000466 1 Indiana

Profile Details

NPI number 1578630810
LBN Legal business name Witham Memorial Hospital
DBA Doing business as Camelot Care Center
Authorized official Braverman, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 24th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578630810 NPPES
Indiana MEDICAID 100289810

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