Diversified Health Care-Lake Charles, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

799 Issued in LA

Legal business name

DIVERSIFIED HEALTH CARE-LAKE CHARLES, LLC

Doing business as

Lake Charles Care Center

Practice address

2701 Ernest St
Lake Charles, LA 70601-8406

Phone

(337) 439-0336

Fax

(337) 494-0546

NPI assigned

Aug 9, 2005

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie H Groce

Title

Accounting Manager

Phone

(337) 439-0336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKE CHARLES CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598766941. Details of each certification follow.

• CCN 195413 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 195413

Legal name

DIVERSIFIED HEALTH CARE-LAKE CHARLES, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

May 1, 1997

Last certification

May 14, 2025

Beds

182

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

May 1, 1997 in LA

Enrollment address

2701 Ernest St
Lake Charles, LA 70601-8406

Nursing home name

LAKE CHARLES CARE CENTER

Listed as

Lake Charles Care CenterCCN 195413 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

182138.1 residents per day on average

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 3

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

Practitioners 3

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.

• Mir Akbar Khan, MD

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1669448080
  NPD (past)
• Christian Jon Leblanc, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1689115966
  NPD (past)
• Joshua Allan Whatley, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1386961787
  NPD (past)

Affiliated clinicians 3

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

• Mir Akbar Khan, MD

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1669448080

  Nursing home

  Care Compare affiliation
• Christian Jon Leblanc, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1689115966

  Nursing home

  Care Compare affiliation
• Joshua Allan Whatley, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1386961787

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1598766941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018406",
            "telephone_number": "337-439-0336",
            "fax_number": "337-494-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 ERNEST ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018406",
            "telephone_number": "337-439-0336",
            "fax_number": "337-494-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED HEALTH CARE-LAKE CHARLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "GROCE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "337-439-0336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510114",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE CHARLES CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.