Camelot Care Centers, Llc.

LBN: Camelot Care Centers, Llc.
Camelot Care Centers, Llc. is an health care organization with primary practice located at 5301 E State St Suite 208, Rockford IL 61108-2901. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Camelot Care Centers, Llc. can be contacted via phone (815) 484-9180, or through Patel, Ronica via phone (630) 773-1985.

Contact Information

Primary practice address
5301 E State St Suite 208 Rockford IL 61108-2901
Phone: (815) 484-9180
Fax: (815) 484-9183
Website:
Map and Directions
Authorized official contact:
Name: Patel, Ronica
Phone: (630) 773-1985

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023349081
LBN Legal business name Camelot Care Centers, Llc.
DBA Doing business as
Authorized official Patel, Ronica
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 14th, 2010
Last updated Aug 27th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023349081 NPPES
Illinois MEDICAID 2B05-IPI-141

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