# COMMCARE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgecrest Rehabilitation & Retirement Center, Ridgecrest Community Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316905870
- **Authorized official:** DAWN HARVEY PSARELLIS (VICE PRESIDENT, CAO)
- **Authorized official phone:** (504) 324-8950

## Contact information

- **Practice address:** 1616 WELLERMAN RD, WEST MONROE, LA 71291-7427
- **Practice address phone:** (318) 387-2577
- **Practice address fax:** (318) 325-8662
- **Mailing address:** 1616 WELLERMAN RD, WEST MONROE, LA 71291-7427
- **Mailing address phone:** (318) 387-2577
- **Mailing address fax:** (318) 325-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 156 | LA | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 02/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520217 | — | LA |
| 01 | — | 34421 | BLUE CROSS BLUE SHIELD | LA |