CAMELOT OF BROUSSARD ASSISTED LIVING
NPI 1396038667
Assisted Living Facility in Broussard, LA
- Organization
- Assisted Living Facility
About CAMELOT OF BROUSSARD ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Camelot Of Broussard Assisted Living, a provider established in Broussard, Louisiana operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396038667 assigned on May 2011. The practitioner's primary taxonomy code is 310400000X with license number AC13262 (LA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Camelot Of Broussard Assisted Living. The authorized official of this NPI record is Nicole Howard (Chief Operating Officer)
- NPI
- 1396038667 Verify this NPI
- Provider Legal Name
- LOUISIANA GUEST HOUSE, LLC
- Other Organization Name
- CAMELOT OF BROUSSARD ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 418 ALBERTSON PKWY BROUSSARD, LA 70518
- Location Phone
- (337) 839-9005
- Location Fax
- (337) 837-9398
- Mailing Address
- 4333 SHREVEPORT HWY PINEVILLE, LA 71360
- Mailing Phone
- (318) 445-6470
- Mailing Fax
- (318) 641-6282
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2011
- Last Update Date
- 05-19-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AC13262
- License State
- LA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
BROUSSARD, LA 70518
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396038667, enumerated as an "organization" on May 19, 2011.
The provider is located at 418 ALBERTSON PKWY BROUSSARD, LA 70518 and the phone number is (337) 839-9005.
Assisted Living Facility with taxonomy code 310400000X.
