West Carroll Care Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

467 Issued in LA

Legal business name

WEST CARROLL CARE CENTER INC

Practice address

706 Ross St
Oak Grove, LA 71263-9798

Phone

(318) 428-9612

Fax

(318) 428-6185

NPI assigned

Nov 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dewana Little

Title

Administrator

Phone

(318) 428-9612

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114900099. Details of each certification follow.

• CCN 195398 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195398

Legal name

WEST CARROLL CARE CENTER INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1997

Last certification

Aug 14, 2024

Beds

80

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 30, 1996 in LA

Enrollment address

706 Ross St
Oak Grove, LA 71263-9798

Nursing home name

WEST CARROLL CARE CENTER, INC

Listed as

West Carroll Care Center, IncCCN 195398 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8073.7 residents per day on average

Penalties (3 years)

4Fines totaling $54,806

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Fakhre Fakhre, M.D.

  • Internal Medicine Physician
  • Oak Grove, LA
  • NPI 1134186133

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maroun E Hayek, MD

  • Hematology & Oncology Physician
  • Greenville, MS
  • NPI 1922072891
  NPD
• Christopher Domingue, M.D.

  • Family Medicine Physician
  • Oak Grove, LA
  • NPI 1073571824
  NPD (past)
• Fakhre Fakhre, M.D.

  • Internal Medicine Physician
  • Oak Grove, LA
  • NPI 1134186133
  NPD (past)
• George Fakhre

  • Internal Medicine Physician
  • Lake Providence, LA
  • NPI 1750310272
  NPD (past)
• Thomas St Clair Williams Sr., MD

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1467422048
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christopher Domingue, M.D.

  • Family Medicine Physician
  • Oak Grove, LA
  • NPI 1073571824

  Nursing home

  Care Compare affiliation
• Fakhre Fakhre, M.D.

  • Internal Medicine Physician
  • Oak Grove, LA
  • NPI 1134186133

  Nursing home

  Care Compare affiliation
• George Fakhre

  • Internal Medicine Physician
  • Lake Providence, LA
  • NPI 1750310272

  Nursing home

  Care Compare affiliation
• Thomas St Clair Williams Sr., MD

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1467422048

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1114900099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-9612",
            "fax_number": "318-428-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-9612",
            "fax_number": "318-428-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DEWANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-428-9612"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517747",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-1108)
• Allie Elizabeth Watson, DDS
• West Carroll Arc
• West Carroll Arc
• West Carroll Arc
• West Carroll Health Systems (West Carroll Hospital Pharmacy)
• West Carroll Health Systems LLC
• West Carroll Health Systems LLC (West Carroll Memorial Hospital)
• West Carroll Health Systems LLC (Community Medical Clinic)
• West Carroll Health Systems LLC (Oak Grove Medical Clinic)

• Nursing Facility/Intermediate Care Facility in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Nursing Facility/Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.

Verify at the official NPI Registry.