NPIMap

Organization Active NPI

Camelot Care Centers, Inc

  • Community/Behavioral Health Agency
  • Cleveland, TN
National Provider Identifier
1356541460
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAMELOT CARE CENTERS, INC
Doing business as
Camelot Care Centers, Inc.
Practice address
391 Broad St NW
Cleveland, TN 37311-5039
Phone
(423) 476-3799
Fax
(423) 476-3795
NPI assigned
Jul 18, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE SERVICE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Leigh Ann Veale, LMFT
Title
Director of Operations
Phone
(615) 370-4228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

391 Broad St NW
Cleveland, TN 37311-5039

Mailing address

391 Broad St NW
Cleveland, TN 37311-5039
Phone (423) 476-3799

Other names 1

  • Camelot Care Centers, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camelot Care Services21 organizations share this tax ID, including this one
Part of
Providence Human Services of Wa

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

391 Broad St NW
Cleveland, TN 37311
Phone (423) 476-3799

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1356541460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 BROAD ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115039",
            "telephone_number": "423-476-3799",
            "fax_number": "423-476-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROAD ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115039",
            "telephone_number": "423-476-3799",
            "fax_number": "423-476-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT CARE CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE SERVICE CORPORATION",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "VEALE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-370-4228",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Care Centers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.