CAMELOT OF VIRGINIA, LLC (NPI# 1265628440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265628440 |
| Entity Type | Organization |
| Organization Name | CAMELOT OF VIRGINIA, LLC |
| Other Organization Name | RADFORD GROUP HOME |
| Practice Address |
5978 Belsprings Rd. Radford VA 24141 |
| Mailing Address |
4207 E Highway 290 Dripping Springs TX 78620-4206 |
| Practice Telephone | 5406391688 |
| Mailing Telephone | 5128589900 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| 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 |
|---|---|
| Radford 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 |
| 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 |
| 1083800593 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 1729 Patterson Ave Sw, Roanoke, VA 24016-3105 | 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 |
5978 BELSPRINGS RD. |
| City | RADFORD |
| State | VA |
| Zip Code | 24141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| 1396707345 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6580 Valley Center Dr #302, Radford, VA 24141 | 2006-04-05 |
| Find all providers in zip 24141 | ||||
| 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 |
|---|---|---|---|---|
| 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.