Provider Demographics
NPI:1386001360
Name:BLUE GIRAFFE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:BLUE GIRAFFE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMEJO
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:305-640-8280
Mailing Address - Street 1:5050 NW 74TH AVE
Mailing Address - Street 2:107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5504
Mailing Address - Country:US
Mailing Address - Phone:305-640-8280
Mailing Address - Fax:305-640-8284
Practice Address - Street 1:5050 NW 74TH AVE
Practice Address - Street 2:107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5504
Practice Address - Country:US
Practice Address - Phone:305-640-8280
Practice Address - Fax:305-640-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child