CAMELOT OF VIRGINIA, LLC (NPI# 1083800593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083800593 |
| Entity Type | Organization |
| Organization Name | CAMELOT OF VIRGINIA, LLC |
| Other Organization Name | ROANOKE GROUP HOME |
| Practice Address |
1729 Patterson Ave Sw Roanoke VA 24016-3105 |
| Mailing Address |
4207 E Highway 290 Dripping Springs TX 78620-4206 |
| Practice Telephone | 5403454533 |
| Mailing Telephone | 5128589900 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | GRAYSON HARCOURT (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 5128589900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Roanoke Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588850523 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 107 Roanoke St, Christiansburg, VA 24073-3019 | 2007-09-24 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1245426428 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 4410 Christiansburg Pike, Pilot, VA 24138 | 2007-09-20 |
| 1467648972 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 290 E Monroe St, Wytheville, VA 24382-2336 | 2007-09-18 |
| 1578759072 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 448 Depot St Ne, Christiansburg, VA 24073-2050 | 2007-09-18 |
| Street Address |
1729 PATTERSON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537370 | Dorothy M Owsley | Non-emergency Medical Transport (VAN) | 1729 Patterson Ave Sw, Roanoke, VA 24016-3105 | 2018-11-21 |
| 1255808721 | Transitional Options for Women | Transportation Broker | 1729 Patterson Ave Sw, Roanoke, VA 24016-3105 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175961 | Sessions of Success | Community Based Residential Treatment Facility, Mental Illness | 651 Peters Creek Rd Nw, Roanoke, VA 24017-4860 | 2010-05-24 |
| 1477790038 | Berry Mental Support Services | Community Based Residential Treatment Facility, Mental Illness | 5307 Twilight Rd, Roanoke, VA 24019-2521 | 2009-01-19 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1811180458 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 7002 Dallas Rd, Roanoke, VA 24019-1510 | 2007-08-27 |
| 1598963548 | Cee-breeze Personal Care Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 410 Elm Ave Sw, Roanoke, VA 24016-3920 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1376178079 | Scott's Rehabilitative House | Community Based Residential Treatment Facility, Mental Illness | 104 Country Club Rd, Franklin, VA 23851-2983 | 2020-03-03 |
| 1386298354 | Quality Care Counseling Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 | 2019-07-29 |
| 1730690694 | Families United, LLC | Community Based Residential Treatment Facility, Mental Illness | 1801 Hayward Ave, Chesapeake, VA 23320-2231 | 2017-10-18 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1225426083 | Divine Health Support LLC | Community Based Residential Treatment Facility, Mental Illness | 2050 Hanson Ln, Woodbridge, VA 22191-4545 | 2015-01-02 |
| 1063838126 | New Lifestyles, Inc | Community Based Residential Treatment Facility, Mental Illness | 230 W Boscawen St, Winchester, VA 22601-4118 | 2014-03-13 |
| 1053742049 | Pathways Youth Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1010 Marions Trl, Halifax, VA 24558-3126 | 2013-12-02 |
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
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| 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.