# COMMUNITY CARE CENTER OF NAPOLEONVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Manor Napoleonville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215995915
- **Authorized official:** MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (601) 709-1408

## Contact information

- **Practice address:** 252 HIGHWAY 402, NAPOLEONVILLE, LA 70390-2218
- **Practice address phone:** (985) 369-6011
- **Practice address fax:** (985) 369-2473
- **Mailing address:** 252 HIGHWAY 402, NAPOLEONVILLE, LA 70390-2218
- **Mailing address phone:** (985) 369-6011
- **Mailing address fax:** (985) 369-2473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 780 | LA | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 02/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521426 | — | LA |
| 01 | — | 31047 | BLUE CROSS BLUE SHIELD | LA |
| 01 | — | 385H00000X | RESPITE CARE | LA |