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CAMELOT COMMUNITY CARE INC NPI 1639406093


NPI Information

NPI: 1639406093
Provider Name: CAMELOT COMMUNITY CARE, INC
Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
1410 TECH BLVD
TAMPA, FL
ZIP 33619
Phone: (813) 635-9765
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CAMELOT COMMUNITY CARE, INC is a foster care agency in Tampa, FL. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. CAMELOT COMMUNITY CARE, INC NPI is 1639406093. The provider is registered as an organization entity type.

The provider's business location address is:

1410 TECH BLVD
TAMPA, FL
ZIP 33619-865
Phone: (813) 635-9765
Fax: (813) 635-9725

The provider's authorized official is Jana Allen .
The authorized official title is Director Of Ar and has the following contact phone number (727) 593-0003.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 7/13/2021.


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
1253J00000XFoster Care AgencyYes
2251S00000XCommunity/Behavioral HealthNo
3251S00000XCommunity/Behavioral HealthMH 7500FLORIDANo

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
1070590000MEDICAIDFLORIDA

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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