THE CAMELOT SOCIETY (NPI# 1518174564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518174564 |
| Entity Type | Organization |
| Organization Name | THE CAMELOT SOCIETY |
| Other Organization Name | CAMELOT GROUP HOME |
| Practice Address |
9201 2nd Ave Nw Seattle WA 98117-2012 |
| Mailing Address |
18606 Bothell Way Ne Bothell WA 98011-1929 |
| Practice Telephone | 4254815853 |
| Practice Fax Number | 4254815763 |
| Mailing Telephone | 4254815853 |
| Mailing Fax Number | 4254815763 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AUTUMN L. CALKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4254815853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ICFMR GROUP HOME | 4967501 | 01 |
| Other Name | Type Code |
|---|---|
| Camelot Group Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629286158 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 17235 126th Pl Ne, Woodinville, WA 98072-7923 | 2007-05-18 |
| 1538377064 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26509 N.e. Virginia St., Duvall, WA 98019 | 2007-05-18 |
| 1811104763 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 5027 Ne 188th St, Lake Forest Park, WA 98155-3012 | 2007-05-17 |
| 1851508717 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 12461 Ne 173rd Pl, Woodinville, WA 98072-7925 | 2007-05-17 |
| 1790992683 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26511 Ne Virginia St, Duvall, WA 98019-8461 | 2007-05-17 |
| Street Address |
9201 2ND AVE NW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98117-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
| 1114422045 | Solar Acupuncture LLC | Acupuncturist | 9015 Holman Rd Nw Suite 1 Room 12, Seattle, WA 98117 | 2018-03-23 |
| 1033610621 | Yijun Liang | Acupuncturist | 9015 Holman Rd Nw Suite 1,room 12, Seattle, WA 98117 | 2018-02-28 |
| 1205337235 | Lily Jee-eun Rosenblum | Student in an Organized Health Care Education/Training Program | 7028 21st Ave Nw, Seattle, WA 98117 | 2018-02-25 |
| 1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
| 1558812578 | Sarah J Harwood | Counselor | 8322 11th Ave Nw, Seattle, WA 98117 | 2016-10-14 |
| 1083085617 | Hannah Gordon | Naturopath | 2038 Nw Market Street Zoomcare Ballard, Seattle, WA 98117 | 2015-10-08 |
| 1629322698 | Aimee Therese Denver | Registered Nurse | 3023 Nw 72nd Street, Seattle, WA 98117 | 2012-10-30 |
| 1649523101 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 | 2012-10-22 |
| 1922350248 | Bodhi Tree LLC | Chiropractor | 2808-ii E Madison Street, Suite 203, Seattle, WA 98117 | 2012-10-10 |
| Find all providers in zip 98117 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669671095 | United Friends Group Friends | Intermediate Care Facility, Mentally Retarded | 6935 Fauntleroy Way Sw, Seattle, WA 98136-1728 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154512150 | Social & Health Services Frances Haddon Morgan Cc | Intermediate Care Facility, Mentally Retarded | 3423 6th St, Bremerton, WA 98312-3555 | 2007-08-05 |
| 1629286158 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 17235 126th Pl Ne, Woodinville, WA 98072-7923 | 2007-05-18 |
| 1538377064 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26509 N.e. Virginia St., Duvall, WA 98019 | 2007-05-18 |
| 1811104763 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 5027 Ne 188th St, Lake Forest Park, WA 98155-3012 | 2007-05-17 |
| 1851508717 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 12461 Ne 173rd Pl, Woodinville, WA 98072-7925 | 2007-05-17 |
| 1790992683 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26511 Ne Virginia St, Duvall, WA 98019-8461 | 2007-05-17 |
| 1366594228 | Lakeland Village | Intermediate Care Facility, Mentally Retarded | S 2320 Salnave Road, Medical Lake, WA 99022-0200 | 2007-01-18 |
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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.