# COMMCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Natchitoches Community Care Center, Heritage Manor Natchitoches Rehab & Retirement Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588622286
- **Authorized official:** MS. DAWN H PSARELLIS (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (504) 324-8950

## Contact information

- **Practice address:** 781 HIGHWAY 494, NATCHITOCHES, LA 71457-2801
- **Practice address phone:** (318) 352-8296
- **Practice address fax:** (318) 352-3837
- **Mailing address:** 720 KEYSER AVE, NATCHITOCHES, LA 71457-6043
- **Mailing address phone:** (318) 352-8296
- **Mailing address fax:** (318) 352-3837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 887 | LA | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 08/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510921 | — | LA |
| 01 | — | 31059 | BLUE CROSS BLUE SHIELD | LA |