NPIMap

Organization Active NPI

Camille Corporation

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1487765962
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12638 Issued in AL
Legal business name
CAMILLE CORPORATION
Practice address
3900 Old Shell Rd
Mobile, AL 36608-1319
Phone
(251) 342-5623
Fax
(251) 342-6938
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Angela P Hart
Title
Administrator
Phone
(251) 342-5623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12638 AL Primary

Addresses

Primary practice location

3900 Old Shell Rd
Mobile, AL 36608-1319

Mailing address

3900 Old Shell Rd
Mobile, AL 36608-1319
Phone (251) 342-5623

Other identifiers 1

IdentifierTypeStateIssuer
4752320SMedicaidAL

Other names 1

  • Spring Hill Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1487765962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081319",
            "telephone_number": "251-342-5623",
            "fax_number": "251-342-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081319",
            "telephone_number": "251-342-5623",
            "fax_number": "251-342-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-342-5623"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4752320S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Hill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.