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 Rehab & Nursing Center

Practice address

804 Polk St
Winnsboro, LA 71295-2350

Phone

(318) 435-6116

Fax

(318) 435-3993

NPI assigned

Sep 29, 2005

Last updated

Aug 22, 2020By 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. Jeremy Paul Ledet

Title

Accountant

Phone

(318) 574-5230

Specialties & licenses 1

Addresses

Other names 1

• CHARLYN REHAB & NURSING CENTER Doing business as

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932196581",
    "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": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDET",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "318-574-5230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLYN REHAB & NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 Aug 22, 2020; 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.