CAMELOT COMMUNITY CARE (NPI# 1639406093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639406093 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE |
| Practice Address |
1412 Tech Blvd Tampa FL 33619-7865 |
| Practice Telephone | 8136359765 |
| Mailing Telephone | 8136359765 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | REBECCA JARMON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8136359765 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH 7500 | FL | Agencies |
| 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 |
| 1063771780 | Camelot Community Care | Case Management | 7162 Reading Rd, Suite 300, Cincinnati, OH 45237-3838 | 2012-05-15 |
| 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 |
1412 TECH BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-7865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730374240 | John Francis Alepin | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2007-09-07 |
| 1457802621 | Jadell Patricio | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2016-10-21 |
| 1154725083 | Samantha Shevitz | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-10-21 |
| 1346657046 | Shanika White | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-07-15 |
| 1558784991 | Meagan Carter | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-01-21 |
| 1578812533 | Michelle L Petty | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-09-06 |
| 1053660399 | Kim Anise Jackson-mccalla | Counselor | 1412 Tech Blvd, Tampa, FL 33610 | 2012-08-31 |
| 1619225679 | Camelot Community Care, Inc | Foster Care Agency | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-23 |
| 1538416094 | Aime Y Wood | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-14 |
| 1851648315 | Trevor John Sisson | Social Worker | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-14 |
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| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
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| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
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| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
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| 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] |
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|---|---|---|---|---|
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| 1932718467 | Diane G .hill, Phd | Community/Behavioral Health | 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 | 2020-07-30 |
| 1285258293 | Essential Mental Health Inc | Community/Behavioral Health | 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 | 2020-06-05 |
| 1871114801 | Resurgence Tampa Bay LLC | Community/Behavioral Health | 3808 Gunn Hwy, Tampa, FL 33618-8757 | 2020-04-30 |
| 1841819489 | Tri-lyfe Support Services Inc | Community/Behavioral Health | 3919 E Fern St Apt 4, Tampa, FL 33610-1609 | 2020-04-14 |
| 1508497694 | Lotus Community Corp | Community/Behavioral Health | 5927 Webb Rd, Tampa, FL 33615-3219 | 2020-01-28 |
| 1457992463 | Elevate To Achieve LLC | Community/Behavioral Health | 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 | 2019-10-01 |
| 1285281899 | Bridges Behavioral Wellness LLC | Community/Behavioral Health | 2746 N Florida Ave, Tampa, FL 33602-1522 | 2019-08-20 |
| 1487218426 | Alintana LLC | Community/Behavioral Health | 4410 Melton Ave, Tampa, FL 33614-7218 | 2019-04-25 |
| 1679032379 | 5 Star Cares, Inc | Community/Behavioral Health | 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 | 2019-03-13 |
| Find all providers in TAMPA | ||||
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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.