Healthcare Provider Details

I. General information

NPI: 1609215391
Provider Name (Legal Business Name): POST ACUTE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 INDIAN HILL BLVD
DIAMONDHEAD MS
39525-3324
US

IV. Provider business mailing address

950 W CAUSEWAY APPROACH
MANDEVILLE LA
70471-3082
US

V. Phone/Fax

Practice location:
  • Phone: 228-687-1385
  • Fax: 504-227-3511
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 Number026
License Number StateMS

VIII. Authorized Official

Name: DAWN HARVEY PSARELLIS
Title or Position: SECRETARY
Credential:
Phone: 504-324-8950