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Charleston Dfw Operations LLC

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

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

National Provider Identifier

1851729560

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Registry record

Entity type Organization (Type 2)
Legal business name Charleston Dfw Operations LLC
Other name <Unavail>
Practice address 900 W Leuda St, Fort Worth, TX, 76104
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 136289 (TX) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
004002 Medicaid TX -
001025543 Medicaid TX -
4002 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

Where is Charleston Dfw Operations LLC located?
The practice location on file with NPPES is in Fort Worth, TX.
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.

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