Campbell Manor

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CAMPBELL MANOR

Doing business as

Campbell Home Services

Practice address

1551 NW 81St Ave
Pembroke Pines, FL 33024-5049

Phone

(954) 328-4710

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Garth H Campbell

Title

Executive Director

Phone

(954) 328-4710

Specialties & licenses 2

Addresses

Other names 1

• Campbell Home Services Doing business as

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1649656828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 SW 195TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 NW 81ST AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245049",
            "telephone_number": "954-328-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-328-4710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coller Eduardo Cambas, DC
• Victor Edward Cambas, DC
• Susan Cameron
• Camila Paiva, M.D., P.L.L.C.
• Jonathan Camino Perez, M.D.
• Christine Tamara Campbell, LCSW
• Indra Campbell
• Jennifer N Campbell, APRN
• Kimberly Campbell
• Nicole Campbell, PMHNP-BC

• Developmentally Disabled Services Day Training Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.