CAMELOT CARE CENTERS, LLC (NPI# 1831797141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831797141 |
| Entity Type | Organization |
| Organization Name | CAMELOT CARE CENTERS, LLC |
| Practice Address |
5301 E State St Ste 208 Rockford IL 61108-2397 |
| Mailing Address |
333 W Pierce Rd Ste 175 Itasca IL 60143-3120 |
| Practice Telephone | 8154849180 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | RONICA R PATEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8478497664 |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1740510338 | Camelot Care Centers, LLC | Community/Behavioral Health | 2144 S Macarthur Blvd, Springfield, IL 62704-4502 | 2010-01-05 |
| 1710217336 | Camelot Care Centers, LLC | Community/Behavioral Health | 4747 Lincoln Mall Dr Ste 305, Matteson, IL 60443-3814 | 2010-01-04 |
| 1093957300 | Camelot Care Centers, LLC | Community/Behavioral Health | 333 W Pierce Rd, Suite 175, Itasca, IL 60143-3116 | 2009-04-01 |
| 1215535786 | Camelot Care Centers, LLC | Clinic/Center | 2396 W Nebraska Ave, Peoria, IL 61604-3111 | 2020-10-15 |
| 1093313553 | Camelot Care Centers, LLC | Clinic/Center | 333 W Pierce Rd Ste 175, Itasca, IL 60143-3120 | 2020-10-15 |
| 1538767090 | Camelot Care Centers, LLC | Clinic/Center | 2144 S Macarthur Blvd, Springfield, IL 62704-4502 | 2020-10-15 |
| 1740888205 | Camelot Care Centers, LLC | Clinic/Center | 4747 Lincoln Mall Dr Ste 305, Matteson, IL 60443-3814 | 2020-10-15 |
| 1700149051 | Camelot Care Centers, LLC | Community/Behavioral Health | 2396 W Nebraska Ave, Peoria, IL 61604-3111 | 2012-06-21 |
| Street Address |
5301 E STATE ST STE 208 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875628 | Janice S Benedict Pllc | Clinic/Center | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2020-09-15 |
| 1831663798 | Rosecrance Inc | Clinic/Center | 1601 University Dr, Rockford, IL 61107-5317 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1255954780 | The Transformation Specialists LLC | Clinic/Center | 813 Ash St, Flossmoor, IL 60422-2213 | 2020-05-19 |
| 1689296162 | Kmetko & Associates, Ltd. | Clinic/Center | 4043 N Ravenswood Ave Ste 121, Chicago, IL 60613-1176 | 2020-05-07 |
| 1962035709 | Ellen M Griffin Psyd PC | Clinic/Center | 155 N Michigan Ave Ste 512, Chicago, IL 60601-7612 | 2020-02-20 |
| 1962034488 | Global Executive Council Services | Clinic/Center | 5766 N Lincoln Ave Ste 4s, Chicago, IL 60659-4734 | 2020-02-12 |
| 1366082232 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd Ste B116, Chicago, IL 60608-4540 | 2020-01-08 |
| 1295379972 | Compass Health Center Oakbrook Pllc | Clinic/Center | 700 Oakmont Ln, Westmont, IL 60559-5551 | 2019-11-05 |
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| 1720629041 | Monte Nido Illinois, LLC | Clinic/Center | 27w121 80th St, Naperville, IL 60565-1270 | 2019-10-08 |
| 1689223992 | Hannah Newman, Lcsw LLC | Clinic/Center | 3111 W Armitage Ave Fl 2, Chicago, IL 60647-3818 | 2019-09-09 |
| 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.