Active NPI
Community Care Center of Opelousas LLC
- Skilled Nursing Facility
- Opelousas, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 782
- Legal business name
- COMMUNITY CARE CENTER OF OPELOUSAS LLC
- Practice address
- 315 Harry Guilbeau Rd
Opelousas, LA 70570-6958 - Phone
- (337) 948-4486
- Fax
- (337) 948-4524
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 782 | LA | Primary |
Addresses
Primary practice location
315 Harry Guilbeau Rd
Opelousas, LA 70570-6958
Mailing address
315 Harry Guilbeau Rd
Opelousas, LA 70570-6958
Phone (337) 948-4486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30837 | Other | LA | BLUE CROSS BLUE SHIELD LA |
| 1521451 | Medicaid | LA |
Other names 1
- Senior Village Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000708 | LA | Part A Provider - Skilled Nursing Facility | 2860584380 | Practice locations: Opelousas, LA |
Skilled nursing facility certification: CCN 195318
- Legal name
- COMMUNITY CARE CENTER OF OPELOUSAS LLC
- Doing business as
- SENIOR VILLAGE NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1995
- Last certification
- Sep 10, 2024
- Beds
- 150
- Ownership / control type
- Corporation
- Multi-facility organization
- Medico, LLC; Act Investments, LLC
- Organization structure
- LLC
- Enrollment address
- 315 Harry Guilbeau Rd
Opelousas, LA 70570-6958 - Nursing home name
- SENIOR VILLAGE NURSING & REHABILITATION CENTER
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Senior Village Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 1995
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- The Beebe Family
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pineville, LA
- NPI 1275690125
Member Of
Ownership & related parties
All disclosed owners & managing parties 30
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Gerard and Alison Danos Childrens TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| QSST TR for Alison Beebe Sadler Danos and Her Descendants | 5% Or Greater Indirect Ownership Interest | Nov 1, 2013 | 28.34% |
| Adp of the SNF | Jan 1, 2025 | ||
| Medico LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 85% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Act Investments, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 15% |
| David & Felicia Stallard Child TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Felicias 2016 Fam TR No 2 | Adp of the SNF | Jan 1, 2025 | |
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Alisons 2016 Fam TR No 2 | Adp of the SNF | Jan 1, 2025 | |
| Verdin Enterprises, LLC | Adp of the SNF | Nov 1, 2021 | |
| Adp of the SNF | Jan 8, 2008 | ||
| Dale Hewitt | Operational/Managerial Control | Nov 15, 2013 | |
| Adp of the SNF | Nov 15, 2013 | ||
| Aria Care Management LLC | Adp of the SNF | Aug 1, 2022 | |
| Louisiana Extended Care Centers LLC | Adp of the SNF | Jan 1, 2025 | |
| Toni H Parkinson | Corporate Officer | Nov 15, 2015 | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Provider Professional Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Joseph & Alison Sadler Children TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Beebe 2013 Childrens TR NG | Adp of the SNF | Jan 1, 2025 | |
| David W Stallard | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Bobby L Beebe | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| Providence Care LLC | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Pathway Management of Louisiana LLC | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| QSST TR for Felicia Beebe Stallard and Her Descendants | 5% Or Greater Indirect Ownership Interest | Nov 1, 2013 | 28.33% |
| Michael Louis Burnell | Operational/Managerial Control | Feb 5, 2014 | |
| Adp of the SNF | Feb 5, 2014 | ||
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Dec 31, 2010 | |
| LTC Him Consulting Inc | Adp of the SNF | Apr 1, 2007 | |
| Lecc Opelousas LLC | Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1588625487
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Alexandria, LA
- NPI 1952354086
Account Management Services Inc, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Pathway Manag
-
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1992581961
Act Investments, LLC, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Pathway Management of Louisiana LLC, Providence Care
-
- Skilled Nursing Facility
- Metairie, LA
- NPI 1497360432
Medico LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1871541722
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Covington, LA
- NPI 1942258876
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Destrehan, LA
- NPI 1770541088
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Tristar Rehab Inc
-
- Skilled Nursing Facility
- Hammond, LA
- NPI 1073571212
Account Management Services Inc, Administrative Systems Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Tristar Rehab in
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1962469213
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Houma, LA
- NPI 1407804362
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Mandeville, LA
- NPI 1679531362
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison B
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1083662944
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Saint Martinville, LA
- NPI 1093773301
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Opelousas, LA
- NPI 1003990656
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1588625487
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1730767278
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1013986892
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1942384870
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1306801576
Affiliated clinicians 6
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": "1732924800000",
"number": "1821056136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HARRY GUILBEAU RD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706958",
"telephone_number": "337-948-4486",
"fax_number": "337-948-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 HARRY GUILBEAU RD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706958",
"telephone_number": "337-948-4486",
"fax_number": "337-948-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE CENTER OF OPELOUSAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"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": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD LA",
"identifier": "30837",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521451",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Village Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.