# LAKE CHARLES HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Landmark of Lake Charles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750513362
- **Authorized official:** MR. TONI H PARKINSON (MANAGING MEMBER)
- **Authorized official phone:** (601) 709-1408

## Contact information

- **Practice address:** 2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
- **Practice address phone:** (337) 478-2920
- **Practice address fax:** (337) 479-1512
- **Mailing address:** 2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
- **Mailing address phone:** (337) 478-2920
- **Mailing address fax:** (337) 479-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | 975 | LA | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 01/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 385H00000X | RESPITE CARE | LA |