CAMELOT COMMUNITY CARE (NPI# 1063771780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063771780 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE |
| Practice Address |
7162 Reading Rd Suite 300 Cincinnati OH 45237-3838 |
| Mailing Address |
4910 Creekside Dr Ste D Clearwater FL 33760-4034 |
| Practice Telephone | 5139615900 |
| Practice Fax Number | 5139615903 |
| Mailing Telephone | 7275930003 |
| Mailing Fax Number | 7275950735 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | MR. MICHAEL DIBRIZZI (PRESIDENT/CEO) |
| Authorized Official Telephone | 7275930003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 10400 | 05 | |
| OH | AOD PROVIDER NUMBER | 2876606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043568371 | Camelot Community Care | Community/Behavioral Health | 4910 Creekside Dr, Suite D, Clearwater, FL 33760-4023 | 2012-08-16 |
| 1679581250 | Camelot Community Care | Counselor | 4910 Creekside Dr Ste D, Clearwater, FL 33760-4034 | 2006-08-03 |
| 1497387104 | Camelot Community Care | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2020-02-11 |
| 1639413859 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2012-11-15 |
| 1780933861 | Camelot Community Care | Social Worker | 6416 Melaleuca Lane, Greenacres, FL 33464 | 2012-09-05 |
| 1881942928 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Suite 120, Fort Lauderdale, FL 33309-7122 | 2012-08-21 |
| 1639406093 | Camelot Community Care | Community/Behavioral Health | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2009-11-05 |
| 1679797492 | Camelot Community Care | Community/Behavioral Health | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-12 |
| 1427171594 | Camelot Community Care | Social Worker | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Camelot Community Care Inc. | 4910-D Creekside Drive, Clearwater, Florida 33760 |
| Indiana Business Entities | CAMELOT COMMUNITY CARE, INC. | 4910-d Creekside Drive, Clearwater, FL 33760 |
| Street Address |
7162 READING RD SUITE 300 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45237-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203843 | Catholic Charities Southwestern Ohio | Counselor | 7162 Reading Rd, Suite 600, Cincinnati, OH 45237-3838 | 2006-07-26 |
| 1609483171 | Beth Blumberg | Counselor | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2020-09-28 |
| 1760043160 | Rhonda K Hensley | Social Worker | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2019-06-26 |
| 1023673779 | Brittney Paige Miller | Social Worker | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2019-05-08 |
| 1710453378 | Tiara Chambers | Social Worker | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2018-10-22 |
| 1942784061 | Frankie Terrones | Social Worker | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2018-09-25 |
| 1366921181 | Henok Wolday Ysieni | Social Worker | 7162 Reading Rd, Cincinnati, OH 45237 | 2018-08-13 |
| 1144712746 | Antonio Davis | Behavior Technician | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2018-05-31 |
| 1598256794 | Veronica Olivia Louis | Behavior Technician | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2018-05-23 |
| 1730679721 | Gregory Albert Marshall | Behavior Technician | 7162 Reading Rd, Cincinnati, OH 45237-3838 | 2018-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083697 | Exaptional Senior Care | Nursing Care | 7373 Brook Crest Rd, 342, Cincinnati, OH 45237 | 2020-08-13 |
| 1568923019 | Leah M Steverson | Social Worker | 7373 Brookcrest Dr., Suite 305, Cincinnati, OH 45237 | 2019-03-27 |
| 1144703018 | Sarah Jeanne Ventura | Registered Nurse | 5752 Rhode Island Ave, Cincinnati, OH 45237 | 2018-09-07 |
| 1508389396 | Anna Johnson | Social Worker | 7162 Reading Rd Suite 300, Cincinnati, OH 45237 | 2017-07-24 |
| 1881135754 | Safiya Ahmed | Home Health | 8075 Reading Rd., Suite 203, Cincinnati, OH 45237 | 2017-03-13 |
| 1972049963 | Pieces of The Heart Group Home | In Home Supportive Care | 1302 Laidlaw Ave., Cincinnati, OH 45237 | 2017-01-13 |
| 1346785003 | Arlette Stephanie Njokou Tchamda | Registered Nurse | 23 E Lakeshore Dr Apt 8, Cincinnati, OH 45237 | 2017-01-04 |
| 1487015350 | Cara J Johnson | Nurse's Aide | 7870 Glenorchard Dr, Cincinnati, OH 45237 | 2016-03-18 |
| 1144689878 | Anwar Lucas | Licensed Practical Nurse | 4721 Reaing Road, St. Aloysius Orphanage, Cincinnati, OH 45237 | 2016-02-23 |
| 1659736205 | Vickey Yvonne Allen | Licensed Practical Nurse | 1739 Dalewood Pl, Cincinnati, OH 45237 | 2015-12-28 |
| Find all providers in zip 45237 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1205469913 | Not Alone, Inc. | Community/Behavioral Health | 1821 Summit Rd Ste 30, Cincinnati, OH 45237-2822 | 2020-02-20 |
| 1861022683 | Lisa R Leace Lisw-s Counseling Services LLC | Community/Behavioral Health | 270 Northland Blvd Ste 211, Cincinnati, OH 45246-3653 | 2020-01-21 |
| 1649819582 | Clay Integrated Health Services | Community/Behavioral Health | 1 N Commerce Park Dr Ste 103, Cincinnati, OH 45215-3188 | 2019-12-23 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1821573882 | Wayne Steven Ford | Community/Behavioral Health | 1765 Williams Ave # 1, Cincinnati, OH 45212-3542 | 2018-09-26 |
| 1508343286 | Next Steps Behavioral Health | Community/Behavioral Health | 3284 North Bend Rd #108, Cincinnati, OH 45211-4521 | 2018-07-25 |
| 1518452085 | Bridges Counseling Services Inc | Community/Behavioral Health | 6240 Hamilton Ave Ste 6b, Cincinnati, OH 45224-2000 | 2018-06-27 |
| 1942792957 | Premier Transformation Counseling & Consulting Services | Community/Behavioral Health | 791 E Mcmillan St Ste 105, Cincinnati, OH 45206-1938 | 2018-06-05 |
| 1740731371 | Mayo Home for Youth Development | Community/Behavioral Health | 129 Woolper Ave, Cincinnati, OH 45220-1215 | 2016-10-19 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45237 |
Please comment or provide details below to improve the information on CAMELOT COMMUNITY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.