CAMELOT OF BROUSSARD
NPI 1023068335
Skilled Nursing Facility in Broussard, LA

Active since May 10, 2006CLIA 19D0697625 · Waiver
418 ALBERTSONS PARKWAY, BROUSSARD, LA 70518(337) 839-9005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camelot Of Broussard NPPES

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

CAMELOT OF BROUSSARD (NPI 1023068335) is a healthcare organization registered as a skilled nursing facility in Broussard, Louisiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James E Richardson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023068335
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLOUISIANA GUEST HOUSE LLC
Location Address418 ALBERTSONS PARKWAYBroussard, LA 70518
Mailing AddressPo Box 8055Alexandria, LA 71306-1055 · (318) 445-6470 · Fax (318) 445-6422
Organization SubpartNo
Authorized OfficialJames E RichardsonCeo · (318) 445-6470
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1023068335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in LA · 922
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
418 ALBERTSONS PARKWAY, Broussard, LA 70518

Other Names 1

Doing Business AsCamelot Of Broussard

Other Identifiers 1

Medicaid1510670LA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0697625

Camelot Of Broussard · Broussard, LA
Active · expires Aug 31, 2026
CLIA Number19D0697625
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJames E. Richardson
Laboratory Phone(337) 839-9005
Laboratory LocationCamelot Of Broussard418 Alberstons Parkway, Broussard, LA 70518
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Louisiana Guest House LLC's NPI number?

The NPI number for Louisiana Guest House LLC is 1023068335. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Camelot Of Broussard.

Where is Louisiana Guest House LLC located?

Louisiana Guest House LLC is located at 418 Albertsons Parkway, Broussard, LA 70518. The listed phone number is (337) 839-9005.

What is Louisiana Guest House LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Louisiana Guest House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0697625) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Louisiana Guest House LLC accept?

Health plans from UnitedHealthcare list Louisiana Guest House LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Louisiana Guest House LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.