Charleston Dequincy Operations LLC

Organization Active NPI Skilled Nursing Facility · Dequincy, LA

NPI 1144145145 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1144145145
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
CHARLESTON DEQUINCY OPERATIONS LLC
Practice address
602 N Division St
Dequincy, LA 70633-3129
Phone
(337) 786-2466
Fax
(337) 786-2472
NPI assigned
Aug 11, 2026
Organization subpart
No

Authorized official

Name
Kendall Broussard
Title
Managing Member
Phone
(337) 439-6600

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

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

  • THE CARE CENTER OF DEQUINCY Doing business as

Other providers in Dequincy, LA

All providers in Dequincy, LA · Skilled Nursing Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.