Country Club Road Community Home
Intermediate care facility for individuals with intellectual disabilities in Pineville, LA, Medicare certification number 19G282.
Medicare certification
Provider of Services- CCN
- 19G282
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Aug 9, 1988
- Last certification
- Apr 8, 2025
- Beds
- 6
- Most recent change of ownership
- Sep 12, 2013
- Address
- 98 Country Club Road
Pineville, LA 71360
(318) 640-4996
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Country Club Road Community Home
- Intellectual Disabilities Intermediate Care Facility
- Pineville, LA
- NPI 1740334283
Name & address match
Other intermediate care facilities for individuals with intellectual disabilities in Pineville, LA
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.