Charleston Waco Operations LLC
NPI 1669800371ActiveOrganization· Skilled Nursing Facility· Waco, TX
Skilled Nursing Facility in Waco, Texas, registered in NPPES in October 2013. The authorized official on file is Kendall A. Broussard, Managing Member.
Overview
| NPI | 1669800371 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2013 |
| Last updated in NPPES | Dec 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 136593 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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