Community Care LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

365 Issued in LA

Legal business name

COMMUNITY CARE LLC

Practice address

1421 General Taylor St
New Orleans, LA 70115-3717

Phone

(504) 899-2500

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul B Kavanaugh

Title

Chief Executive Officer

Phone

(504) 899-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospital certification: CCN 194056

Legal name

COMMUNITY CARE LLC

Doing business as

COMMUNITY CARE HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Dec 16, 1994

Last certification

Sep 28, 2024

Beds

36

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

1421 General Taylor Street
New Orleans, LA 70115-3717
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Listed as

Community Care HospitalCCN 194056 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

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

CLIA laboratory certificates

Tax ID family

Community Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Care LLC

  • Adult Mental Health Clinic/Center
  • New Orleans, LA
  • NPI 1891215976
  NPD tax ID

All disclosed owners & managing parties 1

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

Practitioners 3

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

• Mohammad Khursheed Anwar, M.D.

  • Psychiatry Physician
  • Kenner, LA
  • NPI 1477723914
  NPD (past)
• Jose Mario Rodriguez, M.D.

  • Psychiatry Physician
  • Metairie, LA
  • NPI 1235399262
  NPD (past)
• Muhammed Asif Yasin, M.D.

  • Psychiatry Physician
  • Kenner, LA
  • NPI 1093938458
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1346224847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GENERAL TAYLOR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153717",
            "telephone_number": "504-899-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GENERAL TAYLOR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153717",
            "telephone_number": "504-899-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "KAVANAUGH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "504-899-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709204",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Common Ground Health Clinic
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• Community Academies of New Orleans
• Community Academies of New Orleans
• Community Care LLC
• Community Care Solutions, Inc
• Community Care Solutions, Inc.
• Community Choice Pharmacy LLC
• Community Choice Pharmacy LLC

• Psychiatric Hospital in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.

Verify at the official NPI Registry.