# COMMUNITY CARE CENTER OF HAMMOND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Landmark Nursing Center of Hammond
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073571212
- **Authorized official:** MRS. TONI PARKINSON (PRESIDENT ADMINISTRATIVE SYSTEMS)
- **Authorized official phone:** (601) 709-1408

## Contact information

- **Practice address:** 42250 N OAKS DR, HAMMOND, LA 70403-4287
- **Practice address phone:** (985) 542-8570
- **Practice address fax:** (985) 429-8352
- **Mailing address:** 42250 N OAKS DR, HAMMOND, LA 70403-4287
- **Mailing address phone:** (985) 542-8570
- **Mailing address fax:** (985) 429-8352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 775 | LA | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 11/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521388 | — | LA |
| 01 | — | 30361 | BLUE CROSS BLUE SHIELD LA | LA |
| 01 | — | 3747P1801X | PERSONAL CARE ATTENDANT | LA |
| 01 | — | 385H00000X | RESPITE CARE | LA |