Active NPI
Orchid Court Inc
Doing business as Camelot Adult Day Health Care Center
- Adult Day Care Clinic/Center
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 060000924
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- ORCHID COURT INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70403F | Medicaid | CA |
Other names 1
- Camelot Adult Day Health Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1003894 | Orchid Court Inc | Certificate of waiver | Sep 12, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Orchid Court Inc
- 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.
-
- Mental Illness Community Based Residential Treatment Facility
- San Bernardino, CA
- NPI 1730780313
-
dba Vanda Royale
- Mental Illness Community Based Residential Treatment Facility
- San Bernardino, CA
- NPI 1730783598
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.
-
dba Vanda Royale
- Mental Illness Community Based Residential Treatment Facility
- San Bernardino, CA
- NPI 1730783598
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.