Active NPI
Community Care Center of Thibodaux LLC
- Skilled Nursing Facility
- Thibodaux, LA
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Member of1
- Facilities with the same owner55
- Practitioners2
- Affiliated clinicians13
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties25
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- NPI Registry JSON
- Other providers in Thibodaux, LA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 766
- Legal business name
- COMMUNITY CARE CENTER OF THIBODAUX LLC
- Practice address
- 2110 Audubon Ave
Thibodaux, LA 70301-5014 - Phone
- (985) 446-3975
- Fax
- (985) 447-5329
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Vacherie, LA
- NPI 1144284860
Adp of the SNF, Operational/Managerial Control
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pineville, LA
- NPI 1275690125
Member Of
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Alexandria, LA
- NPI 1952354086
Account Management Services Inc, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Providence Ca
-
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1992581961
Act Investments, LLC, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Providence Care LLC, Provider Professional Services
-
- Skilled Nursing Facility
- Metairie, LA
- NPI 1497360432
Medico LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1871541722
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Covington, LA
- NPI 1942258876
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Destrehan, LA
- NPI 1770541088
Account Management Services Inc, Administrative Systems Inc, Pathway South LLC, Provider Professional Services Inc, Tristar Rehab Inc
-
- Skilled Nursing Facility
- Hammond, LA
- NPI 1073571212
Account Management Services Inc, Administrative Systems Inc, Pathway South LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendant
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1962469213
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Houma, LA
- NPI 1407804362
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Mandeville, LA
- NPI 1679531362
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Pathway South LLC, Providence Care LLC, Provider Professional Services Inc,
-
- Skilled Nursing Facility
- Opelousas, LA
- NPI 1821056136
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1083662944
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Thibodaux, LA
- NPI 1669913943
-
- Internal Medicine Physician
- Vacherie, LA
- NPI 1144284860
Affiliated clinicians 13
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Audubon Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1992
- Medicare certification status
- Active
- Certified beds
- 172
- Chain
- The Beebe Family
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0671308 | Audubon Health & Rehab | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Skilled nursing facility certification: CCN 195275
- Legal name
- COMMUNITY CARE CENTER OF THIBODAUX LLC
- Doing business as
- AUDUBON HEALTH & REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1992
- Last certification
- Sep 25, 2024
- Beds
- 180 (172 certified)
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- in LA
- Enrollment address
- 2110 Audubon Avenue
Audubon Health & Rehab
Thibodaux, LA 70301-5014 - Nursing home name
- AUDUBON HEALTH AND REHAB
- Affiliated entity
- THE BEEBE FAMILY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071107000519 | LA | Part A Provider - Skilled Nursing Facility | 1153418199 | Practice locations: Thibodaux, LA |
All disclosed owners & managing parties 25
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Leblanc | Operational/Managerial Control | Jan 30, 2018 | |
| Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Gerard and Alison Danos Childrens TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| Adp of the SNF | Dec 19, 2025 | ||
| QSST TR for Alison Beebe Sadler Danos and Her Descendants | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.34% |
| Adp of the SNF | Jan 1, 2025 | ||
| Medico LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 85% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Act Investments, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 15% |
| David & Felicia Stallard Child TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Raja S Talluri | Operational/Managerial Control | Jun 1, 2016 | |
| Adp of the SNF | Jun 1, 2016 | ||
| Verdin Enterprises, LLC | Adp of the SNF | Nov 1, 2021 | |
| Aria Care Management LLC | Adp of the SNF | Dec 1, 2022 | |
| Toni H Parkinson | Corporate Officer | Nov 15, 2015 | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Managing Control - Governing Body | Jul 1, 2011 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Provider Professional Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Joseph & Alison Sadler Children TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| Adp of the SNF | Dec 19, 2025 | ||
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| David W Stallard | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Bobby L Beebe | Operational/Managerial Control | Dec 11, 2021 | |
| Adp of the SNF | Dec 11, 2021 | ||
| Providence Care LLC | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Pathway South LLC | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| QSST TR for Felicia Beebe Stallard and Her Descendants | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Adp of the SNF | Jan 1, 2025 | ||
| Christine S Larose | Operational/Managerial Control | Oct 29, 2021 | |
| Adp of the SNF | Oct 29, 2021 | ||
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Aug 10, 2011 | |
| LTC Him Consulting Inc | Adp of the SNF | Nov 10, 2006 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 766 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2110 Audubon Ave
Thibodaux, LA 70301-5014
Mailing address
2110 Audubon Ave
Thibodaux, LA 70301-5014
Phone (985) 446-3975
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521311 | Medicaid | LA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2024.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1023075355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 AUDUBON AVE",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015014",
"telephone_number": "985-446-3975",
"fax_number": "985-447-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 AUDUBON AVE",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703015014",
"telephone_number": "985-446-3975",
"fax_number": "985-447-5329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE CENTER OF THIBODAUX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-28",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A",
"authorized_official_last_name": "PARKINSON",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "601-709-1408",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521311",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.