CHARLESTON WACO OPERATIONS LLC


Address: 1010 Dallas St, Waco, TX 76704-1711
Phone: 3374396600

CHARLESTON WACO OPERATIONS LLC (NPI# 1669800371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669800371
Entity Type Organization
Organization Name CHARLESTON WACO OPERATIONS LLC
Other Organization Name WOODLAND SPRINGS NURSING CENTER
Practice Address 1010 Dallas St
Waco
TX 76704-1711
Mailing Address 127 W Broad St Ste 800
Lake Charles
LA 70601-4297
Practice Telephone 3374396600
Practice Fax Number 3374396647
Mailing Telephone 3374396600
Mailing Fax Number 3374396647
Enumeration Date 2013-10-16
Last Update Date 2013-12-11
Authorized Official Name KENDALL A BROUSSARD (MANAGING MEMBER)
Authorized Official Telephone 3374396600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 136593 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 4029 05
TX 001025526 05
TX 004029 05

Other Provider/Organization Names

Other Name Type Code
Woodland Springs Nursing Center Doing Business As Name - Organization

Office Location

Street Address 1010 DALLAS ST
City WACO
State TX
Zip Code 76704-1711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003085135 Woodland Springs Healthcare Lp Skilled Nursing Facility 1010 Dallas St, Waco, TX 76704 2008-02-22
1689283764 Rylee Valtr Speech-Language Pathologist 1010 Dallas St, Waco, TX 76704-1711 2020-07-24
1396305322 Kayla Hernandez Speech-Language Pathologist 1010 Dallas St, Waco, TX 76704-1711 2019-06-20
1902360662 Matthew Earet Hall Occupational Therapy Assistant 1010 Dallas St, Waco, TX 76704-1711 2019-01-28
1871991802 South Limestone Hospital District Skilled Nursing Facility 1010 Dallas St, Waco, TX 76704-1711 2014-12-08
1073848040 Donna Jeane Johnson Physical Therapist 1010 Dallas St, Waco, TX 76704-1711 2009-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780123356 Scott Kennedy Dentist 609 Elm Avenue, Waco, TX 76704 2017-02-15
1023499407 Cenikor Foundation Community/Behavioral Health 2601 Gholson Rd., Waco, TX 76704 2015-06-11
1215033725 Clifton Martin Dentist 609 Elm Ave, Waco, TX 76704 2006-09-15
1649257429 Floyd Lee Barry Pediatrics 1911 Martin Luther King Blvd, Waco, TX 76704 2005-12-22
1720239106 Joel Brennan Mahan Family Medicine 609 Elm Ave, Waco, TX 76704 2008-10-03
1245217058 Lauren Gallemore Barron Family Medicine 1911 Martin Luther King Blvd, Waco, TX 76704 2005-12-22
1104123926 Mclennan County Social Worker 2601 Gholson Rd, Waco, TX 76704-1106 2011-02-14
1528625035 Sherine Amondi Oganga Registered Nurse 413 Dearborn St, Waco, TX 76704-1431 2019-05-21
1477837730 Heart of Texas Community Health Center, Inc. Family Medicine 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 2011-10-05
1356781579 Kathryn Christen Siems Physician Assistant 1911 Martin Luther King Blvd, Waco, TX 76704-1438 2013-07-02
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598237133 St. Anthony's Care Center LLC Skilled Nursing Facility 7501 Bagby Ave, Waco, TX 76712-6904 2018-12-20
1538631171 Fourcooks Senior Care, LLC Skilled Nursing Facility 329 W Hwy 6 Ste C, Waco, TX 76710-5574 2018-12-20
1295238368 Waco Sn Opco LLC Skilled Nursing Facility 7501 Bagby, Waco, TX 76712 2018-03-14
1790299659 Woodgate Snf Realty LLC Skilled Nursing Facility 6500 Horizon Cir, Waco, TX 76712-6985 2017-11-29
1134501869 Market Place Health Care, LLC Skilled Nursing Facility 2430 Market Place Drive, Waco, TX 76711 2015-06-18
1063858298 Crockett Senior Care, LLC Skilled Nursing Facility 200 W State Hwy 6, Suite 612, Waco, TX 76712 2013-05-15
1669714168 Royal Manor II Skilled Nursing Facility 9101 Panther Way, Waco, TX 76712-8614 2013-03-22
1548591092 Virginia Marie Humann Skilled Nursing Facility 100 Jeffery Street, Waco, TX 76710 2010-01-22
1003085135 Woodland Springs Healthcare Lp Skilled Nursing Facility 1010 Dallas St, Waco, TX 76704 2008-02-22
1497876965 Seminole Hospital District of Gaines County Texas Skilled Nursing Facility 401 Owen Ln, Waco, TX 76710-5558 2007-04-03
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Competitor

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City WACO
Zip Code 76704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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