Community Care Center of Alexandria, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

763 Issued in LA

Legal business name

COMMUNITY CARE CENTER OF ALEXANDRIA, LLC

Doing business as

Heritage Manor of Alexandria Rehab & Nursing Center

Practice address

3343 Masonic Drive
Alexandria, LA 71301-3898

Phone

(318) 445-6508

Fax

(318) 445-4771

NPI assigned

May 4, 2006

Last updated

Jun 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Toni Parkinson

Title

Authorized Representative

Phone

(601) 709-1408

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heritage Manor of Alexandria Rehab & Nursing Center Doing business as

Member of 1

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

• Commcare Louisiana

  • Durable Medical Equipment & Medical Supplies
  • Pineville, LA
  • NPI 1275690125

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1356399299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013898",
            "telephone_number": "318-445-6508",
            "fax_number": "318-445-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013898",
            "telephone_number": "318-445-6508",
            "fax_number": "318-445-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF ALEXANDRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-06-25",
        "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": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30982",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521329",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Manor of Alexandria Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Colson
• Kimberly Wall Colston, PMHNP
• Colwell Interest, Inc. (Poland Community Home)
• Comm Care Corp Dba (DBA Cmhc of Alexandria)
• Communicate for Life
• Community Solutions Inc
• Compass Behavioral Center of Alexandria
• Compass Behavioral Center of Alexandria, Inc.
• Compass Behavioral Center of Alexandria, LLC (Alexandria Wellness Center)
• Compass Psychiatric Center, LLC (Compass Psychiatric Center Practice Management)

• Skilled Nursing Facility in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.