Organization Active NPI

Orchid Court Inc

Doing business as Camelot Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Hemet, CA
National Provider Identifier
1720298763
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000924 Issued in CA
Legal business name
ORCHID COURT INC
Doing business as
Camelot Adult Day Health Care Center
Practice address
650 Camino Real Circle
Hemet, CA 92543-2608
Phone
(951) 766-7840
Fax
(951) 766-7034
NPI assigned
May 22, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ORCHID COURT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mrs. Elisa Rillo Gosuico
Title
Administrator
Phone
(909) 884-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000924 CA Primary

Addresses

Primary practice location

650 Camino Real Circle
Hemet, CA 92543-2608

Mailing address

650 Camino Real Circle
Hemet, CA 92543-2608
Phone (951) 766-7840

Other identifiers 1

IdentifierTypeStateIssuer
ADU70403FMedicaidCA

Other names 1

  • Camelot Adult Day Health Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1003894Orchid Court Inc650 Camino Real Circle, Hemet, CA 92543Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Orchid Court Inc3 organizations share this tax ID, including this one
Part of
Orchid Court Inc

Other organizations with this tax ID 2

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

Locations

650 Camino Real Cir
Hemet, CA 92543
Phone (951) 766-7840

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1720298763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CAMINO REAL CIRCLE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432608",
            "telephone_number": "951-766-7840",
            "fax_number": "951-766-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CAMINO REAL CIRCLE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432608",
            "telephone_number": "951-766-7840",
            "fax_number": "951-766-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID COURT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORCHID COURT INC",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GOSUICO",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "RILLO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-884-3044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70403F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.