Provider Demographics
NPI:1588647564
Name:COMM-CARE CORPORATION
Entity Type:Organization
Organization Name:COMM-CARE CORPORATION
Other - Org Name:ST. ANTHONY COMMUNITY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY, VICE PRESIDENT AND CAO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:PSARELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-324-8950
Mailing Address - Street 1:950 W CAUSEWAY APPROACH
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-3082
Mailing Address - Country:US
Mailing Address - Phone:504-324-8950
Mailing Address - Fax:985-624-3477
Practice Address - Street 1:6001 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-4330
Practice Address - Country:US
Practice Address - Phone:504-733-8448
Practice Address - Fax:504-733-1917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-23
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1514721Medicaid
LA195570Medicare Oscar/Certification