CAMELOT COMMUNITY CARE, INC (NPI# 1619225679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619225679 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE, INC |
| Practice Address |
1412 Tech Blvd Tampa FL 33619-7865 |
| Practice Telephone | 8136359765 |
| Practice Fax Number | 8136359725 |
| Mailing Telephone | 8136359765 |
| Mailing Fax Number | 8136359725 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | MRS. LAURA RICHARDSON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7276926682 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629205646 | Camelot Community Care, Inc | Counselor | 1524 S Ih 35, Suite 218, Austin, TX 78704-8931 | 2009-06-17 |
| 1316161110 | Camelot Community Care, Inc | Community/Behavioral Health | 1601 Ne 25th Ave, Suite 306, Ocala, FL 34470-8800 | 2007-04-12 |
| 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 |
| 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 |
| 1508113481 | Debra Richard | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 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 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600941 | Manny Anthony & Co. LLC | Foster Care Agency | 4514 Wishart Blvd, Tampa, FL 33603-2827 | 2020-08-19 |
| 1962051441 | Christie Homes, Inc | Foster Care Agency | 2450 E Hillsborough Ave Apt 1324, Tampa, FL 33610-4443 | 2019-09-08 |
| 1477860443 | Rock Fish Group Home | Foster Care Agency | 4808 Rock Fish Ct, Tampa, FL 33617-6411 | 2010-09-10 |
| 1871109306 | Families Connect Inc | Foster Care Agency | 4902 Eisenhower Blvd Ste 315, Tampa, FL 33634-6344 | 2020-09-21 |
| 1336585017 | Key Assets Florida, Inc. | Foster Care Agency | 9280 Bay Plaza Blvd, Suite 716, Tampa, FL 33619 | 2013-05-21 |
| 1376852624 | Families First of Florida | Foster Care Agency | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2010-10-05 |
| 1053633545 | Families First of Florida | Foster Care Agency | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609734 | Ensor Health Services | Foster Care Agency | 12140 Murray Ave, Largo, FL 33778-2421 | 2020-11-06 |
| 1245849819 | Seven Bridges Support Services LLC | Foster Care Agency | 1652 Fairway Ridge Dr, Fleming Island, FL 32003-8253 | 2020-07-29 |
| 1750901997 | Kenithia Z Brewington | Foster Care Agency | 121 Millet Cir, Cantonment, FL 32533-7888 | 2020-04-17 |
| 1568097038 | A Kid's Place of Tampa Bay Inc. | Foster Care Agency | 1715 Lithia Pinecrest Rd, Brandon, FL 33511-6723 | 2020-03-05 |
| 1215560305 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 591 Jacob Brock Ave, Enterprise, FL 32725-8129 | 2020-02-17 |
| 1609409101 | Florida United Methodist Childrens Home, Inc. | Foster Care Agency | 202 W Reynolds St, Plant City, FL 33563-3200 | 2020-02-13 |
| 1851938096 | Karl Fleming | Foster Care Agency | 6020 Wallace Rd, Panama City, FL 32404-8724 | 2019-12-06 |
| 1598221533 | Kacy Thompson | Foster Care Agency | 9639 Bembridge Mill Dr, Jacksonville, FL 32244-2495 | 2019-02-14 |
| 1205392479 | National Youth Advocate Program, Inc | Foster Care Agency | 401 Nw 2nd Ave Ste 1000, Miami, FL 33128-1740 | 2019-02-13 |
| 1366906695 | Samantha Ingle | Foster Care Agency | 416 W Green St, Perry, FL 32347-3212 | 2019-01-31 |
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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.