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CAMELOT BROOKSIDE
NPI 1689943078
Nursing Facility/Intermediate Care Facility in Jennings, LA

Active since December 14, 2011CLIA 19D0670889 · Waiver
3/5
Overall Rating
3330 N FRONTAGE RD, JENNINGS, LA 70546(337) 824-2466 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camelot Brookside NPPES

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

CAMELOT BROOKSIDE (NPI 1689943078) is a healthcare organization registered as a nursing facility/intermediate care facility in Jennings, Louisiana and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Nicole Howard, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1689943078
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCAMELOT BROOKSIDE LLC
Location Address3330 N FRONTAGE RDJennings, LA 70546-3269
Mailing Address4333 Shreveport HwyPineville, LA 71360-3828 · (318) 445-6470
Phone(337) 824-2466
Organization SubpartNo
Authorized OfficialNicole HowardC.o.o. · (318) 445-6470
Enumeration DateDecember 14, 2011
✔ NPI 1689943078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
3330 N FRONTAGE RD, Jennings, LA 70546
Open in Google Maps ↗

Other Names 1

Doing Business AsCamelot Brookside

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 19D0670889

Camelot Brookside · Jennings, LA
Active · expires Aug 31, 2026
CLIA Number19D0670889
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert T. Johnson
Laboratory Phone(337) 824-2466
Laboratory LocationCamelot Brookside3330 N Frontage Road, Jennings, LA 70546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Camelot Brookside (CMS certification number 195550), from CMS Care Compare.

Camelot Brookside

Nursing home · Jennings, LA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number195550
Certified Beds120 beds111 residents per day on average
Medicare & Medicaid Participant SinceMay 15, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
37.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.11 · LPN 1.14 · RN 0.17
3.43 hrs per resident per day
Weekend Nurse Staffing
2.95 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44.4%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
2
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

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

MEGHAN SONNIER PTA
Physical Therapy Assistant
3330 N FRONTAGE RD
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-2466
JAMES CHRISTOPHER ANDRIES JR. APRN, FNP-C
Nurse Practitioner (Family)
3330 N FRONTAGE RD
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-2466
PMG OPCO-JENNINGS LLC
Skilled Nursing Facility
3330 N FRONTAGE RD
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-2466

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 Camelot Brookside LLC's NPI number?

The NPI number for Camelot Brookside LLC is 1689943078. It was assigned to this organization in the NPPES registry on December 14, 2011. The provider is doing business as Camelot Brookside.

Where is Camelot Brookside LLC located?

Camelot Brookside LLC is located at 3330 N Frontage Rd, Jennings, LA 70546. The listed phone number is (337) 824-2466.

What is Camelot Brookside LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Camelot Brookside LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0670889) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Camelot Brookside LLC a Medicare-certified nursing home?

Yes. Camelot Brookside is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Camelot Brookside LLC have?

CMS rates Camelot Brookside 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Camelot Brookside LLC was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.