Organization Active NPI

Community Care Center of St Martinville LLC

  • Skilled Nursing Facility
  • Saint Martinville, LA
National Provider Identifier
1093773301
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
783 Issued in LA
Legal business name
COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
Practice address
1710 Smede Hwy
Saint Martinville, LA 70582
Phone
(337) 394-6044
Fax
(337) 394-7044
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Ms. Toni Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 783 LA Primary

Addresses

Primary practice location

1710 Smede Hwy
Saint Martinville, LA 70582

Mailing address

1710 Smede Hwy
Saint Martinville, LA 70582-7703
Phone (337) 394-6044

Other identifiers 2

IdentifierTypeStateIssuer
31058OtherLABLUE CROSS BLUE SHIELD
1521442MedicaidLA

Other names 1

  • Landmark of Acadiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000371 LA Part A Provider - Skilled Nursing Facility 7719069632 Practice locations: Saint Martinville, LA

Skilled nursing facility certification: CCN 195487

Legal name
COMMUNITY CARE CENTER OF ST. MARTINVILLE, LLC
Doing business as
LANDMARK OF ACADIANA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2000
Last certification
Jan 15, 2025
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pathway Management
Organization structure
LLCProprietary
Enrollment address
1710 Smede Hwy
Saint Martinville, LA 70582-7703
Nursing home name
LANDMARK OF ACADIANA
Affiliated entity
THE BEEBE FAMILY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Landmark of AcadianaCCN 195487
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124118.9 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
19D0954059Landmark of Acadiana1710 Smede Hwy, Saint Martinville, LA 70582Certificate of waiverNov 16, 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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 5%
St. Martinville Nursing Home LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Karen Mai Consulting Organization, Lafayette, LA Corporation, Consulting firm Adp of the SNF Jan 20, 2021
Amanda Calais Individual Operational/Managerial Control Sep 6, 2018
Gerard and Alison Danos Childrens TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 2.5%
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 85%
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2025
Jason Smith Individual Operational/Managerial Control Oct 6, 2015
Adp of the SNF Oct 6, 2015
Act Investments, LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 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
Felicias 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Timothy Viator Individual Operational/Managerial Control Feb 1, 2010
Adp of the SNF Feb 1, 2010
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Operational/Managerial Control Jan 1, 2010
Alisons 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Verdin Enterprises, LLC Organization, Lisbon, LA LLC, Consulting firm Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Palatine, IL LLC, Consulting firm Adp of the SNF Aug 1, 2022
Louisiana Extended Care Centers LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Toni H Parkinson Individual Corporate OfficerPresident-Account Management Ser Nov 15, 2015
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Joseph & Alison Sadler Children TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 2.5%
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Beebe 2013 Childrens TR NG Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
David W Stallard Individual Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Bobby L Beebe Individual Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Providence Care LLC Organization, Mandeville, LA LLC, Management services company, 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 Management of Louisiana LLC Organization, Ridgeland, MS LLC, Management services company 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 Nov 1, 2013 28.33%
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC, Consulting firm Adp of the SNF Aug 7, 2009

Owners & managing parties with NPI records 1

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

Facilities with the same owner 55

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

View all 55

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 2

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1093773301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SMEDE HWY",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705827703",
            "telephone_number": "337-394-6044",
            "fax_number": "337-394-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SMEDE HWY",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "70582",
            "telephone_number": "337-394-6044",
            "fax_number": "337-394-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF ST MARTINVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "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": "783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31058",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521442",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark of Acadiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Landmark of Acadiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Martinville, LA

Sources for this page

Verify at the official NPI Registry.