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SANCTUARY LOUISIANA, LLC
NPI 1336688878
Substance Abuse Rehabilitation Facility in Lacassine, LA

Active since February 16, 2017CLIA 19D2129697 · Waiver
21089 SOUTH FRONTAGE ROAD, LACASSINE, LA 70650(337) 936-9197(337) 588-4179 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2020, May 15, 2018, Feb 16, 2017 (3 updates tracked since 2017).

About Sanctuary Louisiana, Llc NPPES

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

SANCTUARY LOUISIANA, LLC (NPI 1336688878) is a healthcare organization registered as a substance abuse rehabilitation facility in Lacassine, Louisiana and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Mary L Talbert, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1336688878
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSANCTUARY LOUISIANA, LLC
Location Address21089 SOUTH FRONTAGE ROADLacassine, LA 70650
Mailing AddressPo Box 1967Iowa, LA 70647-1967 · (337) 855-9023 · Fax (337) 588-4179
Phone(337) 936-9197
Fax(337) 588-4179
Organization SubpartNo
Authorized OfficialMary L TalbertCredentialing Administrator · (337) 855-9023
Enumeration DateFebruary 16, 2017
Last NPPES UpdateApril 24, 20233 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1336688878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
21089 SOUTH FRONTAGE ROAD, Lacassine, LA 70650
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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 19D2129697

Sanctuary Louisiana, LLC · Lacassine, LA
Active · expires Apr 24, 2027
CLIA Number19D2129697
Laboratory Type24 Hr Substance Abuse Fac
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorChristopher Mcmorris
Laboratory Phone(337) 391-5043
Laboratory LocationSanctuary Louisiana, LLC21089 South Frontage Road, Lacassine, LA 70650
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

GENESIS LIFE LLC
Rehabilitation, Substance Use Disorder Unit
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197
MR. KELVIN MARTIN SMITH CIT
Counselor (Addiction (Substance Use Disorder))
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197
SABRINA KAY WELLS
Counselor (Addiction (Substance Use Disorder))
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 588-4166
SANCTUARY LOUISIANA LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197

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 Sanctuary Louisiana, LLC's NPI number?

The NPI number for Sanctuary Louisiana, LLC is 1336688878. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Sanctuary Louisiana, LLC located?

Sanctuary Louisiana, LLC is located at 21089 South Frontage Road, Lacassine, LA 70650. The listed phone number is (337) 936-9197.

What is Sanctuary Louisiana, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Sanctuary Louisiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2129697) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanctuary Louisiana, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Sanctuary Louisiana, 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 Sanctuary Louisiana, LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.