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CAMELOT COMMUNITY CARE INC. NPI 1679581250


NPI Information

NPI: 1679581250
Provider Name: CAMELOT COMMUNITY CARE, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4910 CREEKSIDE DR STE D
CLEARWATER, FL
ZIP 33760
Phone: (727) 593-0003
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CAMELOT COMMUNITY CARE, INC. is a community behavioral health in Clearwater, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CAMELOT COMMUNITY CARE, INC. NPI is 1679581250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4910 CREEKSIDE DR STE D
CLEARWATER, FL
ZIP 33760-034
Phone: (727) 593-0003
Fax: (727) 595-0735

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 8/3/2006 and was last updated on 3/3/2022.


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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3253J00000XFoster Care AgencyNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6251B00000XCase ManagementNo
7251S00000XCommunity/Behavioral HealthYes

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
12871183MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.