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EMERITUS AT CAMELOT PLACE
NPI 1124354360
Assisted Living Facility in Medina, OH

Active since October 22, 2009
49 LEISURE LN, MEDINA, OH 44256(330) 723-5825(330) 722-7039 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emeritus At Camelot Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERITUS AT CAMELOT PLACE (NPI 1124354360) is a healthcare organization registered as an assisted living facility in Medina, Ohio and active in the NPI registry since October 2009. The organization lists Noelle D Bickel, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124354360
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT CAMELOT PLACE LLC
Location Address49 LEISURE LNMedina, OH 44256-1285
Mailing Address3131 Elliott Ave, Suite 500Seattle, WA 98121-1044 · (206) 298-2909 · Fax (206) 301-4500
Phone(330) 723-5825
Fax(330) 722-7039
Organization SubpartYesParent: Summerville Senior Living, Inc.
Authorized OfficialNoelle D BickelLicensing Specialist · (206) 298-2909
Enumeration DateOctober 22, 2009
✔ NPI 1124354360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2357R
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
49 LEISURE LN, Medina, OH 44256
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Other Names 1

Doing Business AsEmeritus At Camelot Place

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BD CAMELOT OPCO, LLC
Assisted Living Facility
49 LEISURE LN
MEDINA, OH 44256
Medina County (330) 723-5825
COREY LYNN DILALLA
Physical Therapist
49 LEISURE LN
MEDINA, OH 44256
Medina County (330) 723-5825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summerville At Camelot Place LLC's NPI number?

The NPI number for Summerville At Camelot Place LLC is 1124354360. It was assigned to this organization in the NPPES registry on October 22, 2009. The provider is doing business as Emeritus At Camelot Place.

Where is Summerville At Camelot Place LLC located?

Summerville At Camelot Place LLC is located at 49 Leisure Ln, Medina, OH 44256. The listed phone number is (330) 723-5825.

What is Summerville At Camelot Place LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Summerville At Camelot Place LLC was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.