Organization Active NPI

Commcare Corporation

Doing business as Tioga Community Care Center

  • Skilled Nursing Facility
  • Pineville, LA
National Provider Identifier
1619935905
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
332 Issued in LA
Legal business name
COMMCARE CORPORATION
Doing business as
Tioga Community Care Center
Practice address
5201 Shreveport Hwy
Pineville, LA 71360-3527
Phone
(318) 640-3014
Fax
(318) 640-4927
NPI assigned
May 3, 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
Ms. Dawn H Psarellis
Title
Authorized Representative
Phone
(504) 324-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 332 LA Primary

Addresses

Primary practice location

5201 Shreveport Hwy
Pineville, LA 71360-3527

Mailing address

5201 Shreveport Hwy
Pineville, LA 71360-3527
Phone (318) 640-3014

Other identifiers 2

IdentifierTypeStateIssuer
30856OtherLABLUE CROSS BLUE SHIELD
1520225MedicaidLA

Other names 1

  • Tioga 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
O20070828000395 LA Part A Provider - Skilled Nursing Facility 3375437932 Practice locations: Pineville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619935905. Details of each certification follow.

Skilled nursing facility certification: CCN 195500

Legal name
COMMCARE CORPORATION
Doing business as
TIOGA COMMUNITY CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 28, 2000
Last certification
May 22, 2024
Beds
154
Ownership / control type
Nonprofit Corporation
Multi-facility organization
CommCare Corporation
Organization structure
OtherNon-profit
Incorporated
Jan 27, 1984 in LA
Enrollment address
5201 Shreveport Hwy
Pineville, LA 71360-3527
Nursing home name
TIOGA 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
Tioga Community Care CenterCCN 195500 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 28, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15492.6 residents per day on average
Chain
Commcare Corporation14 facilities in the chain
Penalties (3 years)
1Fines totaling $113,886

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

Ownership & related parties

All disclosed owners & managing parties 10

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 Corpora Jul 1, 2018 20%
James W Tucker Individual Operational/Managerial ControlCeo, Commcare Management Corpor Jan 1, 2010 20%
Dawn R Harvey Psarellis Individual Corporate OfficerCorporate Secretary, Commcare Co Jan 1, 2010
Operational/Managerial ControlCao of Commcare Management Corpo Jan 1, 2010 20%
Patricia M Prechter Individual Corporate DirectorDirector,Commcare Corporation Mar 1, 2018
Jon Goux Individual Operational/Managerial ControlCfo, Commcare Management Corpora Jul 1, 2018 20%
Commcare Corporation Organization, Mandeville, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1994 100%
Mary C Hudson Individual Operational/Managerial ControlController, Commcare Management Nov 12, 2013
Henry L Masson Individual Corporate OfficerTreasurer,Commcare Corporation Jul 1, 1996
Corporate DirectorDirector, Commcare Corporation Dec 24, 1992
Garold a Mangun Individual 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.

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
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.

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 2

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1619935905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603527",
            "telephone_number": "318-640-3014",
            "fax_number": "318-640-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603527",
            "telephone_number": "318-640-3014",
            "fax_number": "318-640-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "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": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "504-324-8950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30856",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520225",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tioga Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.