Organization Active NPI

Commcare Corporation

Doing business as Wynhoven Community Care Center

  • Skilled Nursing Facility
  • Marrero, LA
National Provider Identifier
1245231992
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMMCARE CORPORATION
Doing business as
Wynhoven Community Care Center
Practice address
1050 Medical Center Blvd
Marrero, LA 70072-3144
Phone
(504) 347-0777
Fax
(504) 341-7240
NPI assigned
Aug 3, 2005
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dawn Harvey Psarellis
Title
VP, Cao
Phone
(504) 324-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1050 Medical Center Blvd
Marrero, LA 70072-3144

Mailing address

950 W Causeway Approach
Mandeville, LA 70471-3082
Phone (504) 324-8950

Other identifiers 1

IdentifierTypeStateIssuer
1517313MedicaidLA

Other names 1

  • Wynhoven 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
O20230920004251 LA Part A Provider - Skilled Nursing Facility 3375437932 Practice locations: Marrero, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245231992. Details of each certification follow.

Skilled nursing facility certification: CCN 195210

Legal name
COMMCARE CORPORATION
Doing business as
WYNHOVEN COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 22, 1987
Last certification
Apr 17, 2025
Beds
188
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Commcare Management Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1984 in LA
Enrollment address
1050 Medical Center Blvd
Marrero, LA 70072-3144
Nursing home name
WYNHOVEN 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
Wynhoven Community Care CenterCCN 195210 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 22, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
188119.1 residents per day on average
Chain
Commcare Corporation14 facilities in the chain
Penalties (3 years)
2Fines totaling $48,420

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Comm Corr Corporation19 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

Locations

100 Landrum St
West Monroe, LA 71291
Phone (318) 387-2577

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 Management Corporat Jun 14, 2023 20%
James W Tucker Individual Operational/Managerial ControlCeo Commcare Management Corporat Jun 14, 2023 20%
Alec Lundberg Individual W-2 Managing EmployeeCfo Jun 14, 2023
Michael a Ford Individual Corporate DirectorDirector Commcare Corporation Jan 1, 2021
Dawn R Harvey Psarellis Individual Corporate OfficerCorporation Secretary Commcare C Oct 10, 2014
Operational/Managerial ControlChief Administrative Officer of Jun 14, 2023 20%
Patricia M Prechter Individual Corporate OfficerPresident Jul 1, 2021 25%
Corporate DirectorDirector Commcare Corporation Mar 1, 2018
W-2 Managing EmployeePresident and Ceo Jun 14, 2023 25%
Commcare Corporation Organization, Mandeville, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 14, 2023 100%
Wayne R Plaisance Individual Corporate DirectorDirector Commcare Corporation Jan 1, 2022
Mary C Hudson Individual W-2 Managing EmployeeController Jun 14, 2023
Garold a Mangun Individual Corporate OfficerChairman If the Board Dec 1, 2021 25%
Corporate DirectorChairman If the Board Director C Jun 9, 1997 25%
Commcare Management Corporation Organization, Mandeville, LA Corporation, For-profit Operational/Managerial Control Jun 14, 2023 100%

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
Greenbriar Community Care CenterSlidell, LA, CCN 195301 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

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1245231992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713082",
            "telephone_number": "504-324-8950",
            "fax_number": "985-624-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MEDICAL CENTER BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723144",
            "telephone_number": "504-347-0777",
            "fax_number": "504-341-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "PSARELLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "VP, CAO",
        "authorized_official_telephone_number": "504-324-8950"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517313",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynhoven Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.