CAMELLIA THERAPEUTIC FOSTER AGENCY LLC – NPI #1295064269
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
CAMELLIA THERAPEUTIC FOSTER AGENCY LLC is a residential treatment facility located in PHENIX CITY, AL. NPPES has assigned the NPI number 1295064269 to CAMELLIA THERAPEUTIC FOSTER AGENCY LLC on December 21, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
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 THERAPEUTIC FOSTER AGENCY LLC below.
NPI Profile for
CAMELLIA THERAPEUTIC FOSTER AGENCY LLC
(more than 16 years ago)
PHENIX CITY, AL 36869-7304 Phone: (706) 392-3331 Fax: (334) 298-8599
CHIEF EXECUTIVE OFFICER
Phone: (706) 392-3331
Identifiers for CAMELLIA THERAPEUTIC FOSTER AGENCY LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | EDS/SDHR339000000 | AL | 339091202 |
| OTHER | EDS/SDHR339000000 | AL | 339091102 |
| MEDICAID | AL | 339089024 |
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 |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
AL | 034627 |
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.