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CAMELOT SENIOR LIVING INC. NPI 1053521096


NPI Information

NPI: 1053521096
Provider Name: CAMELOT SENIOR LIVING, INC.

Doing Business As: CAMELOT CARE HOME 1

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
8006 BUCKS HARBOR WAY
SACRAMENTO, CA
ZIP 95828
Phone: (916) 803-1955
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CAMELOT SENIOR LIVING, INC. is a custodial care facility in Sacramento, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. CAMELOT SENIOR LIVING, INC. NPI is 1053521096. The provider is registered as an organization entity type.
The provider Is Doing Business As Camelot Care Home 1.

The provider's business location address is:

8006 BUCKS HARBOR WAY
SACRAMENTO, CA
ZIP 95828-435
Phone: (916) 803-1955
Fax: (916) 685-6343

The provider's authorized official is Scott Emerson Dahlquist .
The authorized official title is President and has the following contact phone number (916) 803-1955.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RCF00027FOTHERCALIFORNIAMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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