Organization Active NPI

Camaron Care Services, Inc.

  • Community/Behavioral Health Agency
  • Canton, MI
National Provider Identifier
1982872081
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801084611 Issued in MI
Legal business name
CAMARON CARE SERVICES, INC.
Practice address
3053 River Meadow Cir
Canton, MI 48188-2382
Phone
(734) 495-3689
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Angela Rena Davis, LMSW
Title
Owner
Phone
(734) 495-3689

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801084611 MI
Community/Behavioral Health Agency 251S00000X 6801084611 MI Primary

Addresses

Primary practice location

3053 River Meadow Cir
Canton, MI 48188-2382

Mailing address

3053 River Meadow Cir
Canton, MI 48188-2382
Phone (734) 495-3689

Other identifiers 1

IdentifierTypeStateIssuer
6801084611OtherMILMSW

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1982872081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 RIVER MEADOW CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882382",
            "telephone_number": "734-495-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 RIVER MEADOW CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882382",
            "telephone_number": "734-495-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARON CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-495-3689",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084611",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801084611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6801084611",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.