NPIMap

Organization Active NPI

Commcare Corporation

  • Skilled Nursing Facility
  • Center Point, LA
National Provider Identifier
1912965211
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
132 Issued in LA
Legal business name
COMMCARE CORPORATION
Practice address
1515 Highway 107
Center Point, LA 71323-3529
Phone
(318) 253-4601
Fax
(318) 253-4668
NPI assigned
May 3, 2006
Organization subpart
No

National Provider Directory

National Provider Directory

Member of 1

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

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 132 LA Primary

Addresses

Primary practice location

1515 Highway 107
Center Point, LA 71323-3529

Mailing address

1515 Highway 107
Center Point, LA 71323-3529
Phone (318) 253-4601

Other identifiers 2

IdentifierTypeStateIssuer
30881OtherLABLUE CROSS BLUE SHIELD LA
1520209MedicaidLA

Other names 1

  • Oak Haven Community Care Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1912965211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HIGHWAY 107",
            "city": "CENTER POINT",
            "state": "LA",
            "postal_code": "713233529",
            "telephone_number": "318-253-4601",
            "fax_number": "318-253-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HIGHWAY 107",
            "city": "CENTER POINT",
            "state": "LA",
            "postal_code": "713233529",
            "telephone_number": "318-253-4601",
            "fax_number": "318-253-4668"
        }
    ],
    "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": "132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LA",
            "identifier": "30881",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520209",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Haven Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Center Point, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.