NPIMap

Organization Active NPI

The Camelot Society

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodinville, WA
National Provider Identifier
1629286158
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
THE CAMELOT SOCIETY
Practice address
17235 126TH PL NE
Woodinville, WA 98072-7923
Phone
(425) 481-5853
Fax
(425) 481-5763
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Tammy E Baldwin
Title
Bookkeeper
Phone
(425) 422-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

17235 126TH PL NE
Woodinville, WA 98072-7923

Mailing address

6912 220TH St SW Ste 301
Mountlake Terrace, WA 98043-2171
Phone (425) 771-2108

Other identifiers 1

IdentifierTypeStateIssuer
4967006OtherWADSHS

Other names 3

  • Camelot Society Doing business as
  • Bedford Group Home Other name
  • Brookhaven Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Camelot Society6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

17235 126th Pl NE
Woodinville, WA 98072
Phone (425) 481-5853

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1629286158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 301",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432171",
            "telephone_number": "425-771-2108",
            "fax_number": "425-771-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 126TH PL NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727923",
            "telephone_number": "425-481-5853",
            "fax_number": "425-481-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAMELOT SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "425-422-5563"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "4967006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Society",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bedford Group Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brookhaven Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.