CAMELLIA HOUSE LLC – NPI #1164978656
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CAMELLIA HOUSE LLC is a community based residential treatment facility located in NORFOLK, VA. NPPES has assigned the NPI number 1164978656 to CAMELLIA HOUSE LLC on August 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Oct 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAMELLIA HOUSE LLC below.

NPI Profile for
CAMELLIA HOUSE LLC

NPI Number
1164978656
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAMELLIA HOUSE LLC
Primary location
8027 CAMELLIA RD
NORFOLK, VA 23518-3416
Phone: (757) 227-1105 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EPHAIM CRUZ
PRESIDENT/CEO
Phone: (757) 227-1105
Updated
Certification Date
Oct 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 VA 2991

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.