Organization · Type 2 NPI

The Camelot Society

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woodinville, WA

NPI number 1629286158 Active

Practice location

17235 126th Pl NE
Woodinville, WA 98072-7923

Call (425) 481-5853 Map

Fax (425) 481-5763

Mailing address

6912 220th St SW Ste 301
Mountlake Terrace, WA 98043-2171

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

NPI record

NPI: 1629286158
Entity type: Organization (Type 2)
Issued: May 18, 2007
Last updated: Aug 8, 2025
Status: Active

Other names

<unavail>
Camelot Society · doing business as
Bedford Group Home · other name
Brookhaven Group Home · other name

Authorized official

Tammy E Baldwin
Bookkeeper
(425) 422-5563

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629286158

The Camelot Society's National Provider Identifier is 1629286158, issued on May 18, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Woodinville, WA. The record was last updated on Aug 8, 2025.