NPIMap

Organization Active NPI

Commcare Corporation

  • Skilled Nursing Facility
  • Slidell, LA
National Provider Identifier
1083650840
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
913 Issued in LA
Legal business name
COMMCARE CORPORATION
Practice address
505 Robert Blvd
Slidell, LA 70458-1645
Phone
(985) 643-6900
Fax
(985) 641-6176
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dawn H Psarellis
Title
Authorized Representative
Phone
(504) 324-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 913 LA Primary

Addresses

Primary practice location

505 Robert Blvd
Slidell, LA 70458-1645

Mailing address

505 Robert Blvd
Slidell, LA 70458-1645
Phone (985) 643-6900

Other identifiers 1

IdentifierTypeStateIssuer
1513709MedicaidLA

Other names 1

  • Greenbriar Community Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000222 LA Part A Provider - Skilled Nursing Facility 3375437932 Practice locations: Slidell, LA

Skilled nursing facility certification: CCN 195301

Legal name
COMMCARE CORPORATION
Doing business as
GREENBRIAR COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1994
Last certification
Sep 16, 2024
Beds
174
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Comm Care Corporation
Organization structure
OtherNon-profit
Incorporated
Jan 27, 1984 in LA
Enrollment address
505 Robert Blvd.
Slidell, LA 70458-1645
Nursing home name
GREENBRIAR COMMUNITY CARE CENTER
Affiliated entity
COMMCARE CORPORATION

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greenbriar Community Care CenterCCN 195301
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
174161.1 residents per day on average
Chain
Commcare Corporation14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
D Ville House19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
George E Gardner Individual Operational/Managerial ControlCoo Commcare MGMT Corporation Jul 1, 2018 20%
James W Tucker Individual Operational/Managerial ControlCeo Commcare MGMT Corporation Jul 1, 2018 20%
Alec Lundberg Individual Corporate OfficerChief Financial Officer Feb 1, 2022
Operational/Managerial ControlChief Financial Officer Feb 1, 2021
Michael a Ford Individual Corporate Director Jan 1, 2021 20%
Dawn R Harvey Psarellis Individual Corporate OfficerCorp Secretary Commcare Corp Oct 10, 2014
Operational/Managerial ControlChief Admininistrative Officer Jul 1, 2018 20%
Patricia M Prechter Individual Corporate OfficerTreasurer Mar 1, 2021 20%
Corporate DirectorPresident, Ceo Mar 1, 2018 20%
W-2 Managing EmployeePresident, Ceo Jul 21, 2021 20%
Commcare Corporation Organization, Mandeville, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1994 100%
Wayne R Plaisance Individual Corporate Director Jan 1, 2022 20%
Mary C Hudson Individual Operational/Managerial ControlController Commcare MGMT Corp Jul 1, 2018
Garold a Mangun Individual Corporate OfficerChairman of the Board Jul 1, 2021 20%
Corporate DirectorDirector Commcare Corporation Jun 9, 1997 20%
Commcare Management Corporation Organization, Mandeville, LA Corporation, Management services company, For-profit Operational/Managerial Control Jul 1, 2018

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Old Jefferson Community Care CenterBaton Rouge, LA, CCN 195571 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Natchitoches Community Care CenterNatchitoches, LA, CCN 195405 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Tioga Community Care CenterPineville, LA, CCN 195500 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Riviere de Soleil Community Care CenterMansura, LA, CCN 195489 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Ridgecrest Community Care CenterWest Monroe, LA, CCN 195528 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Baton Rouge Healthcare CenterBaton Rouge, LA, CCN 195361 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Guest House of SlidellSlidell, LA, CCN 195302 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008
Old Brownlee Community Care CenterBossier City, LA, CCN 195363 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1994
Ponchatoula Community Care CenterPonchatoula, LA, CCN 195543 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2021
Calcasieu Community Care CenterLake Charles, LA, CCN 195644 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2022
Chateau de Notre Dame Community Care CenterNew Orleans, LA, CCN 195589 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 14, 2023
Chateau de Notre Dame Community Care CenterNew Orleans, LA, CCN 195509 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 14, 2023
Wynhoven Community Care CenterMarrero, LA, CCN 195210 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 14, 2023

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1083650840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581645",
            "telephone_number": "985-643-6900",
            "fax_number": "985-641-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581645",
            "telephone_number": "985-643-6900",
            "fax_number": "985-641-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "PSARELLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "504-324-8950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513709",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbriar Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenbriar Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.