CAMELOT BROOKSIDE LLC NPI 1689943078

NPI Details

CAMELOT BROOKSIDE LLC is a nursing facility intermediate care facility in Jennings, LA. The provider is 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. CAMELOT BROOKSIDE LLC NPI is 1689943078. The provider is registered as an organization entity type.
The provider Is Doing Business As Camelot Brookside.

The provider's business location address is:

3330 N FRONTAGE RD
JENNINGS, LA
ZIP 70546-269
Phone: (337) 824-2466

The provider's authorized official is Nicole Howard .
The authorized official title is C.o.o. and has the following contact phone number (318) 445-6470.

The CLIA number assigned to this NPI record is 19D0670889 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 12/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: