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19D0697625 CLIA NUMBER - CAMELOT OF BROUSSARD

Laboratory Demographics

CLIA Number: 19D0697625

Facility Name: CAMELOT OF BROUSSARD

Facility Address:
418 ALBERSTONS PARKWAY
BROUSSARD, LA
ZIP 70518
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Facility Phone Number: 337 233-6855

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1023068335

Taxonomy: 314000000X - Skilled Nursing Facility
(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.

CLIA Record

Field Name Field Value
CLIA Number 19D0697625
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAMELOT OF BROUSSARD
Street 418 ALBERSTONS PARKWAY
City BROUSSARD
State LA
ZIP 70518
Phone 337 233-6855
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024