Organization Active NPI

Charleston Dequincy Operations LLC

Doing business as Country Oaks Healthcare

  • Skilled Nursing Facility
  • Dequincy, LA
National Provider Identifier
1144145145
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.