Active NPI
JKJ Opco LLC
Doing business as The Gardens and Guardian
- Skilled Nursing Facility
- Lake Charles, LA
National Provider Identifier
1861973489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JKJ OPCO LLC
- Doing business as
- The Gardens and Guardian
- Practice address
- 1401 Country Club Rd
Lake Charles, LA 70605-5321 - Phone
- (337) 480-1550
- NPI assigned
- Aug 22, 2018
- Last updated
- Aug 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Joubert Jr.
- Title
- Manager
- Phone
- (225) 937-2134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | LA | Primary |
Addresses
Primary practice location
1401 Country Club Rd
Lake Charles, LA 70605-5321
Mailing address
2219 Laurel Lakes Ave
Baton Rouge, LA 70820-5738
Phone (225) 937-2134
Other names 1
- The Gardens and Guardian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181005001881 | LA | Part A Provider - Skilled Nursing Facility | 5698027415 | Practice locations: Lake Charles, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861973489. Details of each certification follow.
Skilled nursing facility certification: CCN 195636
- Legal name
- JKJ OPCO LLC
- Doing business as
- THE GARDENS AND GUARDIAN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 21, 2012
- Last certification
- Jul 10, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Sep 1, 2015
- Organization structure
- LLC
- Enrollment address
- 1401 Country Club Rd
Lake Charles, LA 70605-5321 - Nursing home name
- THE GARDENS AND GUARDIAN
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Gardens and Guardian
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 21, 2012
- Medicare certification status
- Active
- Certified beds
- 60
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0970096 | Gardens and Guardian House, JKJ Opco, LLC, the | Certificate of waiver | Feb 2, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Joubert | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 50% |
| Justin Reed Wilcoxon | W-2 Managing Employee | Sep 1, 2018 | |
| James Joubert | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 50% |
| Corporate Director | Sep 1, 2018 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1861973489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 LAUREL LAKES AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708205738",
"telephone_number": "225-937-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 COUNTRY CLUB RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055321",
"telephone_number": "337-480-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JKJ OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "JOUBERT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "225-937-2134",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Gardens and Guardian",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Charles, LA
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- Cassandra Jessie-Johnson, CBS
- Latasha Jiles Monroe, BA
- Bradley Lane Jimerson, DPM
- Noor Ali Wallimohammed Jiwani, MD
- Jody Davidson LLC
- John Trahan II Apdc (Smile Design Orthodontics)
- John W Melton MD & Reed a Fontenot Jr MD Apmc
- Nicole M John
- Johnlcocchiaramdaprofessionalmedicalcorporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.