THE CAMELOT SOCIETY NPI 1518174564

NPI Information

NPI: 1518174564
Provider Name: THE CAMELOT SOCIETY

Doing Business As: CAMELOT GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
9201 2ND AVE NW
SEATTLE, WA
ZIP 98117
Phone: (425) 481-5853
Get Directions

THE CAMELOT SOCIETY is an intermediate care facility mentally retarded in Seattle, WA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE CAMELOT SOCIETY NPI is 1518174564. The provider is registered as an organization entity type.
The provider Is Doing Business As Camelot Group Home.

The provider's business location address is:

9201 2ND AVE NW
SEATTLE, WA
ZIP 98117-012
Phone: (425) 481-5853
Fax: (425) 481-5763

The provider's authorized official is Autumn L. Calkins .
The authorized official title is Executive Director and has the following contact phone number (425) 481-5853.

The enumeration date for this NPI number is 5/17/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4967501	OTHER	WASHINGTON	ICFMR GROUP HOME

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

NPI Synchronization or Removal

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