Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Community Care Center of Shreveport South LLC

Organization Skilled Nursing Facility · NPI 1083662944

Community Care Center of Shreveport South LLC is a Skilled Nursing Facility in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9712 Mansfield Rd
Shreveport, LA 71118-4406
Phone: (318) 687-2080
Fax: (318) 688-8103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 784 (LA)

Record details

NPI number1083662944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toni Parkinson — Authorized Representative · (601) 709-1408
Other names Heritage Manor South; Heritage Manor South
NPI enumeratedMay 4, 2006
Last updated in NPPESNovember 30, 2024
Certification dateNovember 30, 2024
Mailing address9712 Mansfield Rd, Shreveport, LA 71118-4498

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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