NPIMap

Organization Active NPI

Commcare Corporation

Doing business as Community Care Center of Baker

  • Skilled Nursing Facility
  • Baton Rouge, LA
National Provider Identifier
1407813652
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
310 Issued in LA
Legal business name
COMMCARE CORPORATION
Doing business as
Community Care Center of Baker
Old Jefferson Community Care Center
Practice address
8340 Baringer Foreman Rd
Baton Rouge, LA 70817-6252
Phone
(225) 275-3203
Fax
(225) 753-3721
NPI assigned
Apr 28, 2006
Last updated
Feb 18, 2021By the provider in NPPES
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
Dawn H Psarellis
Title
VP, Cao
Phone
(504) 324-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 310 LA Primary

Addresses

Primary practice location

8340 Baringer Foreman Rd
Baton Rouge, LA 70817-6252

Mailing address

8340 Baringer Foreman Rd
Baton Rouge, LA 70817-6252
Phone (225) 275-3203

Other practice location 1

3612 Baker Blvd
Baker, LA 70714-2513
Phone (225) 778-0573

Other identifiers 2

IdentifierTypeStateIssuer
1520144MedicaidLA
34466OtherLABC/BS

Other names 2

  • Community Care Center of Baker Doing business as
  • Old Jefferson 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
O20040630000202 LA Part A Provider - Skilled Nursing Facility 3375437932 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407813652. Details of each certification follow.

Skilled nursing facility certification: CCN 195571

Legal name
COMMCARE CORPORATION
Doing business as
OLD JEFFERSON COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2003
Last certification
Feb 5, 2025
Beds
136
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Commcare Corporation
Organization structure
OtherNon-profit
Incorporated
Jan 27, 1984 in LA
Enrollment address
8340 Baringer Foreman Rd
Baton Rouge, LA 70817-6252
Nursing home name
OLD JEFFERSON 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
Old Jefferson Community Care CenterCCN 195571 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136120.1 residents per day on average
Chain
Commcare Corporation14 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
19D0674534Old Jefferson Community Care Center8340 Baringer Foreman Road, Baton Rouge, LA 70817Certificate of waiverAug 31, 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

Member organizations 17

Organizations listed as members of this organization in the National Provider Directory.

View all 17

Locations

3612 Baker Blvd
#C
Baker, LA 70714

8340 Baringer Foreman Rd
Baton Rouge, LA 70817
Phone (225) 275-3203

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 Corporatio Jul 1, 2018 20%
James W Tucker Individual Operational/Managerial ControlCeo, Commcare Management Corporatio Jan 1, 2010 20%
Alec Lundberg Individual Contracted Managing EmployeeCfo Jun 1, 2021 25%
Operational/Managerial ControlCfo Jun 1, 2021 25%
Michael a Ford Individual Corporate DirectorDirector Jan 1, 2021 25%
Dawn R Harvey Psarellis Individual Corporate OfficerSecretary Jan 1, 2010
Operational/Managerial ControlDirector, Cao, Commcare Manageme Jan 1, 2010 20%
Patricia M Prechter Individual Corporate OfficerCeo Jul 1, 2023 25%
Corporate DirectorDirector. Commcare Corporation Mar 1, 2018
W-2 Managing EmployeeCeo Jul 1, 2022 25%
Commcare Corporation Organization, Mandeville, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1994 100%
Wayne R Plaisance Individual Corporate DirectorDirector Jan 1, 2022 25%
Mary C Hudson Individual Operational/Managerial ControlController, Commcare Management Cor Nov 12, 2013
Garold a Mangun Individual Corporate OfficerChariman of the Board, President Jul 1, 2022 25%
Corporate DirectorDirector, Commcare Corporation Jun 9, 1997
Commcare Management Corporation Organization, Mandeville, LA Corporation, For-profit Operational/Managerial Control Jul 1, 2018 100%

Owners & managing parties with NPI records 14

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

  • Comm-Care Corporation

    dba St. Anthony Community Care Center

    • Skilled Nursing Facility
    • Metairie, LA
    • NPI 1588647564

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Greenbriar Community Care Center

    • Skilled Nursing Facility
    • Slidell, LA
    • NPI 1083650840

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Calcasieu Community Care Center

    • Skilled Nursing Facility
    • Lake Charles, LA
    • NPI 1114102738

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Chateau de Notre Dame Community Care Center

    • Skilled Nursing Facility
    • New Orleans, LA
    • NPI 1215093943

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Wynhoven Community Care Center

    • Skilled Nursing Facility
    • Marrero, LA
    • NPI 1245231992

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Ridgecrest Community Care Center

    • Skilled Nursing Facility
    • West Monroe, LA
    • NPI 1316905870

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Old Brownlee Community Care Center

    • Skilled Nursing Facility
    • Bossier City, LA
    • NPI 1518905983

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Trinity Trace Community Care Center

    • Skilled Nursing Facility
    • Covington, LA
    • NPI 1528000965

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Heritage Manor Natchitoches Rehab & Retirement Center

    • Skilled Nursing Facility
    • Natchitoches, LA
    • NPI 1588622286

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Tioga Community Care Center

    • Skilled Nursing Facility
    • Pineville, LA
    • NPI 1619935905

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Baton Rouge Health Care Center

    • Skilled Nursing Facility
    • Baton Rouge, LA
    • NPI 1639136989

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Camelot Community Care

    • Skilled Nursing Facility
    • Ponchatoula, LA
    • NPI 1710464664

    5% Or Greater Direct Ownership Interest

    CMS ownership
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
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
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.

  • Commcare Corporation

    dba Greenbriar Community Care Center

    • Skilled Nursing Facility
    • Slidell, LA
    • NPI 1083650840

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Calcasieu Community Care Center

    • Skilled Nursing Facility
    • Lake Charles, LA
    • NPI 1114102738

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Chateau de Notre Dame Community Care Center

    • Skilled Nursing Facility
    • New Orleans, LA
    • NPI 1215093943

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Wynhoven Community Care Center

    • Skilled Nursing Facility
    • Marrero, LA
    • NPI 1245231992

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Ridgecrest Community Care Center

    • Skilled Nursing Facility
    • West Monroe, LA
    • NPI 1316905870

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Old Brownlee Community Care Center

    • Skilled Nursing Facility
    • Bossier City, LA
    • NPI 1518905983

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Trinity Trace Community Care Center

    • Skilled Nursing Facility
    • Covington, LA
    • NPI 1528000965

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Heritage Manor Natchitoches Rehab & Retirement Center

    • Skilled Nursing Facility
    • Natchitoches, LA
    • NPI 1588622286

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Tioga Community Care Center

    • Skilled Nursing Facility
    • Pineville, LA
    • NPI 1619935905

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Baton Rouge Health Care Center

    • Skilled Nursing Facility
    • Baton Rouge, LA
    • NPI 1639136989

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Camelot Community Care

    • Skilled Nursing Facility
    • Ponchatoula, LA
    • NPI 1710464664

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Commcare Corporation

    dba Riviere de Soleil Community Care Center

    • Skilled Nursing Facility
    • Mansura, LA
    • NPI 1780642074

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 13

Facilities with the same owner 17

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

  • Audubon Retirement Village, Inc.

    dba The John J. Hainkel, Jr. Home and Rehabilitation Center

    • Skilled Nursing Facility
    • New Orleans, LA
    • NPI 1558906370

    Commcare Management Corporation

    CMS ownership
  • Comm-Care Corporation

    dba St. Anthony Community Care Center

    • Skilled Nursing Facility
    • Metairie, LA
    • NPI 1588647564

    Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Greenbriar Community Care Center

    • Skilled Nursing Facility
    • Slidell, LA
    • NPI 1083650840

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Calcasieu Community Care Center

    • Skilled Nursing Facility
    • Lake Charles, LA
    • NPI 1114102738

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Chateau de Notre Dame Community Care Center

    • Skilled Nursing Facility
    • New Orleans, LA
    • NPI 1215093943

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Wynhoven Community Care Center

    • Skilled Nursing Facility
    • Marrero, LA
    • NPI 1245231992

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Ridgecrest Community Care Center

    • Skilled Nursing Facility
    • West Monroe, LA
    • NPI 1316905870

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Old Brownlee Community Care Center

    • Skilled Nursing Facility
    • Bossier City, LA
    • NPI 1518905983

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Trinity Trace Community Care Center

    • Skilled Nursing Facility
    • Covington, LA
    • NPI 1528000965

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Heritage Manor Natchitoches Rehab & Retirement Center

    • Skilled Nursing Facility
    • Natchitoches, LA
    • NPI 1588622286

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Tioga Community Care Center

    • Skilled Nursing Facility
    • Pineville, LA
    • NPI 1619935905

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
  • Commcare Corporation

    dba Baton Rouge Health Care Center

    • Skilled Nursing Facility
    • Baton Rouge, LA
    • NPI 1639136989

    Commcare Corporation, Commcare Management Corporation

    CMS ownership
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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1407813652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 BARINGER FOREMAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708176252",
            "telephone_number": "225-275-3203",
            "fax_number": "225-753-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 BARINGER FOREMAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708176252",
            "telephone_number": "225-275-3203",
            "fax_number": "225-753-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3612 Baker Blvd",
            "address_purpose": "LOCATION",
            "city": "Baker",
            "state": "LA",
            "postal_code": "707142513",
            "country_code": "US",
            "telephone_number": "225-778-0573",
            "fax_number": "225-775-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "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": "VP, CAO",
        "authorized_official_telephone_number": "504-324-8950"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520144",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "34466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Baker",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Jefferson Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.