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Charleston Waco Operations LLC

Skilled Nursing Facility in Waco, TX · enumerated 2013 · authorized official Kendall Broussard, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669800371

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Registry record

Entity type Organization (Type 2)
Legal business name Charleston Waco Operations LLC
Other name <Unavail>
Practice address 1010 Dallas St, Waco, TX, 76704
Phone (337) 439-6600
Fax (337) 439-6647
Enumeration date Oct 16, 2013
Last updated in NPPES Dec 11, 2013

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 136593 (TX) Primary

Authorized official

Name Kendall Broussard
Title Managing Member
Phone (337) 439-6600

Other identifiers

Identifier Type State Issuer
004029 Medicaid TX -
001025526 Medicaid TX -
4029 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-12-11. Verify at npiregistry.cms.hhs.gov.
Where is Charleston Waco Operations LLC located?
The practice location on file with NPPES is in Waco, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-11.