# COMMCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMCARE CORPORATION
- **Other names:** Old Brownlee Community Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518905983
- **Legal business name:** COMMCARE CORPORATION
- **Authorized official:** DAWN H PSARELLIS (VP, CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (504) 324-8950

## Contact information

- **Practice address:** 4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
- **Practice address phone:** (318) 326-4259
- **Mailing address:** 4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
- **Mailing address phone:** (318) 553-5950
- **Mailing address fax:** (318) 553-5952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 249 | LA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518506 | — | LA |
