Healthcare Provider Details

I. General information

NPI: 1124957402
Provider Name (Legal Business Name): NORTHWEST HOSPICE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6942 HIGHWAY 79
HOMER LA
71040-2023
US

IV. Provider business mailing address

950 W CAUSEWAY APPROACH
MANDEVILLE LA
70471-3082
US

V. Phone/Fax

Practice location:
  • Phone: 318-532-6701
  • Fax: 318-532-6702
Mailing address:
  • Phone: 504-324-8950
  • Fax: 985-624-3477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAWN HARVEY PSARELLIS
Title or Position: SECRETARY
Credential:
Phone: 504-329-2656