Active NPI
Charleston Dequincy Operations LLC
Doing business as Country Oaks Healthcare
- Skilled Nursing Facility
- Dequincy, LA
National Provider Identifier
1144145145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHARLESTON DEQUINCY OPERATIONS LLC
- Doing business as
- Country Oaks Healthcare
- Practice address
- 602 N Division St
Dequincy, LA 70633-3129 - Phone
- (337) 786-2466
- Fax
- (337) 786-2472
- NPI assigned
- Aug 11, 2026
- Last updated
- Sep 22, 2026
- 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
- Kendall Broussard
- Title
- Managing Member
- Phone
- (337) 439-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
602 N Division St
Dequincy, LA 70633-3129
Mailing address
602 N Division St
Dequincy, LA 70633-3129
Phone (337) 786-2466
Other names 1
- COUNTRY OAKS HEALTHCARE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1144145145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N DIVISION ST",
"city": "DEQUINCY",
"state": "LA",
"postal_code": "706333129",
"telephone_number": "337-786-2466",
"fax_number": "337-786-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N DIVISION ST",
"city": "DEQUINCY",
"state": "LA",
"postal_code": "706333129",
"telephone_number": "337-786-2466",
"fax_number": "337-786-2472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON DEQUINCY OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "BROUSSARD",
"authorized_official_first_name": "KENDALL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "337-439-6600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COUNTRY OAKS HEALTHCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dequincy, LA
- Scotti Michelle Vige Call, LAC
- Chadha Medical Clinic
- Jagjit Chadha, M.D
- Nandita Chadha, M.D.
- Garrett Chamberlain, M.S., L-SLP, CCC-SLP
- CLHG-Dequincy LLC
- CLHG-Dequincy LLC (Dequincy Memorial Hospital)
- CLHG-Dequincy LLC (Allegiance Medical Clinic of Dequincy)
- CLHG-Dequincy, LLC (Dequincy Memorial Hospital)
- CLHG-Dequincy, LLC (Dequincy Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.