Camelot Arms Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1742N Issued in OH

Legal business name

CAMELOT ARMS CARE CENTER, INC.

Practice address

2958 Canfield Rd
Youngstown, OH 44511-2805

Phone

(330) 792-5511

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Keith James Yoder

Title

Cfo

Phone

(614) 416-2662

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1508967084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTON OVAL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196061",
            "telephone_number": "614-416-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112805",
            "telephone_number": "330-792-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT ARMS CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-416-2662"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1742N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callos Medical Staffing, LLC
• Lucille Belle Calloway
• Maria Camacho- Sanchez
• Priscilla A. Cambert, APRN, CNP
• Camelot Arms Care Center
• Elizabeth J Camera, LPCC
• Angela M. Cameron
• Charles Daniel Cammock, M.D.
• Kristen Campana
• Nicole Marie Campana

• Skilled Nursing Facility in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.