Camelot Terrace, Inc.

Skilled Nursing Facility · Streator, IL

Organization Active NPI

NPI number 1831122472

Practice location

516 W Frech St
Streator, IL 61364-1216
Phone
(815) 672-2600
Fax
(815) 672-2282

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NPI record

NPI
1831122472
Entity type
Organization (Type 2)
Enumeration date
July 8, 2006
Last updated
February 9, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 0043877 IL

Authorized official

Name
Michael Lerner
Title
President
Phone
(815) 672-2600

About Camelot Terrace, Inc.

Camelot Terrace, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 516 W Frech St, Streator, IL 61364-1216. The NPI number 1831122472 was assigned on July 8, 2006 and the record was last updated on February 9, 2009.

Camelot Terrace, Inc. lists a license in the registry: #0043877 (IL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Michael Lerner, President.

Frequently asked questions

What is the NPI number of Camelot Terrace, Inc.?

The NPI number is 1831122472.

What is the phone number of Camelot Terrace, Inc.?

The phone number listed for the practice location is (815) 672-2600.

Where is Camelot Terrace, Inc. located?

516 W Frech St, Streator, IL 61364-1216.

What is the taxonomy code for Camelot Terrace, Inc.?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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