THE CAMELOT SOCIETY NPI 1538377064

NPI Information

  • NPI: 1538377064
  • Provider Name: THE CAMELOT SOCIETY
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: CARLTON GROUP HOME
  • Address: 26509 N.E. VIRGINIA ST.
    DUVALL, WA
    ZIP 98019
  • Phone: (425) 481-5853

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NPI Details

THE CAMELOT SOCIETY is an intermediate care facility mentally retarded in Duvall, WA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE CAMELOT SOCIETY NPI is 1538377064. The provider is registered as an organization entity type.
The provider Is Doing Business As Carlton Group Home.

The provider's business location address is:

26509 N.E. VIRGINIA ST.
DUVALL, WA
ZIP 98019
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 5/18/2007 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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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
14966800OTHERWASHINGTONICFMR 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: 11/21/2025

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