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SUMMERVILLE AT CAMELOT PLACE LLC NPI 1124354360


NPI Information

NPI: 1124354360
Provider Name: SUMMERVILLE AT CAMELOT PLACE LLC

Doing Business As: EMERITUS AT CAMELOT PLACE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
49 LEISURE LN
MEDINA, OH
ZIP 44256
Phone: (330) 723-5825
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SUMMERVILLE AT CAMELOT PLACE LLC is an assisted living facility in Medina, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUMMERVILLE AT CAMELOT PLACE LLC NPI is 1124354360. The provider is registered as an organization entity type.
The provider Is Doing Business As Emeritus At Camelot Place.

The provider's business location address is:

49 LEISURE LN
MEDINA, OH
ZIP 44256-285
Phone: (330) 723-5825
Fax: (330) 722-7039

The provider's authorized official is Noelle D Bickel .
The authorized official title is Licensing Specialist and has the following contact phone number (206) 298-2909.

The enumeration date for this NPI number is 10/22/2009 and was last updated on 10/22/2009.


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
1310400000XAssisted Living Facility2357ROHIOYes

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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