NPIMap

Organization Active NPI

Camelot of Kansas, LLC

  • Community/Behavioral Health Agency
  • Goddard, KS
National Provider Identifier
1972761013
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAMELOT OF KANSAS, LLC
Practice address
24401 W Macarthur Rd
Goddard, KS 67052-8713
Phone
(316) 794-2760
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Grayson Harcourt
Title
Business Office Director
Phone
(512) 858-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

24401 W Macarthur Rd
Goddard, KS 67052-8713

Mailing address

4207 E Highway 290
Dripping Springs, TX 78620-4206
Phone (512) 858-9900

Other names 1

  • Lakeside Academy Other name

National Provider Directory

National Provider Directory
Tax ID family
Riverside Academy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1972761013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 E HIGHWAY 290",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204206",
            "telephone_number": "512-858-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 W MACARTHUR RD",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528713",
            "telephone_number": "316-794-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HARCOURT",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "512-858-9900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goddard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.