Organization Active NPI

Camellia Care

  • Urgent Care Clinic/Center
  • Slidell, LA
National Provider Identifier
1053113183
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAMELLIA CARE
Practice address
2048 Front St
Slidell, LA 70458-3436
Phone
(985) 503-8586
Fax
(985) 326-7484
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erica Williams, MHA
Title
President/Ceo
Phone
(985) 640-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2048 Front St
Slidell, LA 70458-3436

Mailing address

90 Chamale CV
Slidell, LA 70460-2576
Phone (985) 640-0380

National Provider Directory

National Provider Directory

Locations

90 Chamale Cv
Slidell, LA 70460

2048 Front St
Slidell, LA 70458
Phone (985) 503-8586

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1053113183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHAMALE CV",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602576",
            "telephone_number": "985-640-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 FRONT ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583436",
            "telephone_number": "985-503-8586",
            "fax_number": "985-326-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "985-640-0380",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.