NPIMap

Organization Active NPI

Comm-Care Corporation

Doing business as Community Care Center of Ruston

  • Skilled Nursing Facility
  • Ruston, LA
National Provider Identifier
1487680823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
350 Issued in LA
Legal business name
COMM-CARE CORPORATION
Doing business as
Community Care Center of Ruston
Practice address
1405 White St
Ruston, LA 71270-7213
Phone
(318) 225-4400
Fax
(318) 255-1139
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Randy Belton
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 350 LA Primary

Addresses

Primary practice location

1405 White St
Ruston, LA 71270-7213

Mailing address

1405 White St
Ruston, LA 71270-7213
Phone (318) 225-4400

Other identifiers 1

IdentifierTypeStateIssuer
1520233MedicaidLA

Other names 1

  • Community Care Center of Ruston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Center O19 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

1405 White St
Ruston, LA 71270
Phone (318) 255-4400

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487680823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WHITE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707213",
            "telephone_number": "318-225-4400",
            "fax_number": "318-255-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WHITE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707213",
            "telephone_number": "318-225-4400",
            "fax_number": "318-255-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMM-CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "RANDY",
        "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": "350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520233",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Ruston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.