Camelot Healthcare Management Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

HME906 Issued in FL

Legal business name

CAMELOT HEALTHCARE MANAGEMENT INC

Doing business as

Suncare Respiratory Service

Practice address

1141 John Sims Pkwy East
Niceville, FL 32578

Phone

(850) 729-1166

Fax

(850) 678-9245

NPI assigned

Sep 14, 2005

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Angel Arciero

Title

President

Phone

(305) 267-2278

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Suncare Respiratory Service Doing business as

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1891780011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 SW 74 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-267-2278",
            "fax_number": "305-267-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 JOHN SIMS PKWY EAST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-729-1166",
            "fax_number": "850-678-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT HEALTHCARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCIERO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-267-2278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME906",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "HME906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025379100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncare Respiratory Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William Cadwell, CRNA
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• Carey C. Hicks
• Mason Douglas Carnley, APRN, FNP-C
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• Customized Equipment (DME) in Niceville, FL
• Providers in Niceville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.