Organization Active NPI

Community Care Center of Thibodaux LLC

  • Skilled Nursing Facility
  • Thibodaux, LA
National Provider Identifier
1023075355
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
766 Issued in LA
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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 55

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 55

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

Care Compare: Nursing home

Medicare Care Compare
Listed as
Audubon Health and RehabCCN 195275
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
172111.0 residents per day on average
Chain
The Beebe Family48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0671308Audubon Health & Rehab2110 Audubon Avenue, Thibodaux, LA 70301Certificate of waiverAug 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
LLCProprietary
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 IDStateProvider typePAC IDDetails
O20071107000519 LA Part A Provider - Skilled Nursing Facility 1153418199 Practice locations: Thibodaux, LA

All disclosed owners & managing parties 25

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Leblanc Individual Operational/Managerial Control Jan 30, 2018
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 5%
Gerard and Alison Danos Childrens TR Organization, Ridgeland, MS 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 Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, For-profit 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 Organization, Ridgeland, MS LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 15%
David & Felicia Stallard Child TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 5%
Account Management Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Elton G Beebe Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2010 28.33%
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Raja S Talluri Individual Operational/Managerial Control Jun 1, 2016
Adp of the SNF Jun 1, 2016
Verdin Enterprises, LLC Organization, Lisbon, LA LLC, Consulting firm Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Palatine, IL LLC Adp of the SNF Dec 1, 2022
Toni H Parkinson Individual Corporate OfficerPresident of Administrative Syst Nov 15, 2015
Operational/Managerial Control Jan 1, 2010
Managing Control - Governing BodyPresident Jul 1, 2011
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Joseph & Alison Sadler Children TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 2.5%
Adp of the SNF Dec 19, 2025
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
David W Stallard Individual Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Bobby L Beebe Individual Operational/Managerial Control Dec 11, 2021
Adp of the SNF Dec 11, 2021
Providence Care LLC Organization, Mandeville, LA LLC, For-profit Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Pathway South LLC Organization, Ridgeland, MS LLC Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Adp of the SNF Jan 1, 2025
Christine S Larose Individual Operational/Managerial Control Oct 29, 2021
Adp of the SNF Oct 29, 2021
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC, Consulting firm Adp of the SNF Aug 10, 2011
LTC Him Consulting Inc Organization, Church Street, LA Corporation, Consulting firm Adp of the SNF Nov 10, 2006

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 766 LA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1521311MedicaidLA

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

Verify at the official NPI Registry.