Charlyn Enterprises, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

893 Issued in LA

Legal business name

CHARLYN ENTERPRISES, LLC

Doing business as

Charlyn Rehabilitation & Nursing Center

Practice address

804 Polk St
Winnsboro, LA 71295-2350

Phone

(318) 435-6116

Fax

(318) 435-3993

NPI assigned

Jul 24, 2006

Last updated

Jun 13, 2011By 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

Mr. Donald Wayne Henderson

Title

Nursing Facility Administrator

Phone

(318) 435-6116

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CHARLYN REHABILITATION & NURSING CENTER Doing business as

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1710909569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 POLK ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952350",
            "telephone_number": "318-435-6116",
            "fax_number": "318-435-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 POLK ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952350",
            "telephone_number": "318-435-6116",
            "fax_number": "318-435-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLYN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "NURSING FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "318-435-6116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "893",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "LA",
            "license": "893",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "LA",
            "license": "893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514926",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLYN REHABILITATION & NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Campbell, RAC
• Marian Carradine
• Julia Michelle Casiday, FNP-C
• Connie Looney Cassels, NCSP, LSSP
• Ariel Gill Chappell, FNP-C
• Charlyn Enterprises, LLC (Charlyn Rehab & Nursing Center)
• Lexie Christian
• Zachary Christian, PHARMD
• Tanya R Cobb, FNP
• Eula A Coleman, FNP

• Skilled Nursing Facility in Winnsboro, LA
• Providers in Winnsboro, 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 Jun 13, 2011; 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.