Healthcare Provider Details

I. General information

NPI: 1386405835
Provider Name (Legal Business Name): ALLEGIANCE HOSPICE CARE OF NORTHWEST LOUISIANA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 BUCKNER ST STE B220
SHREVEPORT LA
71101-4453
US

IV. Provider business mailing address

1800 BUCKNER ST STE B220
SHREVEPORT LA
71101-4453
US

V. Phone/Fax

Practice location:
  • Phone: 318-615-9181
  • Fax: 318-615-9182
Mailing address:
  • Phone: 318-615-9181
  • Fax: 318-615-9182

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: JOE MONSOUR
Title or Position: CEO
Credential:
Phone: 318-250-2587