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.
Organization
COMMUNITY CARE CENTER OF MANDEVILLE LLC
Active
Organization
COMMUNITY CARE CENTER OF MANDEVILLE LLC
Active
Other names
Heritage Manor of Mandeville
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED OFFICIAL)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1820 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-2960
(985) 626-4798
(985) 626-3878
Mailing address
1820 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-2960
(985) 626-4798
(985) 626-3878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
764
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521337
—
LA
01
—
31043
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/02/2006
Last updated
11/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers