NPIMap

Organization Active NPI

Post Acute Holdings LLC

Doing business as Notre Dame Hospice of Mississippi

  • Community Based Hospice Care Agency
  • Diamondhead, MS
National Provider Identifier
1609215391
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
026 Issued in MS
Legal business name
POST ACUTE HOLDINGS LLC
Doing business as
Notre Dame Hospice of Mississippi
Practice address
4405 E Aloha Dr Ste K
Diamondhead, MS 39525-3380
Phone
(228) 687-1385
Fax
(504) 227-3511
NPI assigned
Jun 17, 2013
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn Harvey Psarellis
Title
Secretary
Phone
(504) 324-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 026 MS Primary

Addresses

Primary practice location

4405 E Aloha Dr Ste K
Diamondhead, MS 39525-3380

Mailing address

950 W Causeway Approach
Mandeville, LA 70471-3082
Phone (504) 324-8950

Other identifiers 2

IdentifierTypeStateIssuer
00070669MedicaidMS
026OtherMSMISSISSIPPI STATE DEPT OF HEALTH

Other names 1

  • Notre Dame Hospice of Mississippi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301001294 MS Part A Provider - Hospice 5890168462 Practice locations: Diamondhead, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609215391. Details of each certification follow.

Hospice certification: CCN 251685

Legal name
POST ACUTE HOLDINGS LLC
Doing business as
NOTRE DAME HOSPICE OF MISSISSIPPI
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 28, 2013
Last certification
Jul 10, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
5407 Indian Hill Blvd
Diamondhead, MS 39525-3324

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Notre Dame Hospice of MississippiCCN 251685 · All quality measures
Ownership
For-Profit
Certified
Aug 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2057634Notre Dame Hospice of Mississippi5407 Indian Hill Blvd, Diamondhead, MS 39525Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Post Acute Holdings LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3330 N Causeway Blvd
Ste 320
Metairie, LA 70002
Phone (504) 227-3600

4405 E Aloha Dr
Ste K
Diamondhead, MS 39525
Phone (228) 687-1385

5407 Indian Hill Blvd
Diamondhead, MS 39525
Phone (228) 255-4300

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Commcare Louisiana Organization, Mandeville, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 15, 2022 55%
George E Gardner Individual Operational/Managerial ControlCoo Jul 1, 2018 20%
James W Tucker Individual 5% Or Greater Indirect Ownership Interest Nov 16, 2022 27%
Operational/Managerial ControlCeo Jul 1, 2018 20%
Alec Lundberg Individual W-2 Managing EmployeeCfo Nov 16, 2022
Sydney Ellen Tucker Inter Vivos Trust No 1 Organization, Madisonville, LA 5% Or Greater Indirect Ownership Interest Nov 16, 2022 9%
Dawn R Harvey Psarellis Individual Corporate Officer Nov 16, 2022 20%
Operational/Managerial ControlChief Administrative Officer Nov 16, 2022 20%
Patricia M Prechter Individual Corporate OfficerTreasurer Nov 16, 2022 33.3%
Corporate DirectorDirector Nov 16, 2022
Wayne R Plaisance Individual Corporate OfficerPresident Nov 16, 2022 33.3%
Corporate DirectorDirector Nov 16, 2022
Post Acute Holdings LLC Organization, Metairie, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Nov 16, 2022
David Birdsong Individual Operational/Managerial Control Nov 15, 2022 18%
Other Nov 15, 2022 18%
Mary C Hudson Individual W-2 Managing Employee Nov 16, 2022
Garold a Mangun Individual Corporate DirectorDirector Nov 16, 2022 33.3%
Caitlin Claire Tucker Inter Vivos Trust No 1 Organization, Madisonville, LA 5% Or Greater Indirect Ownership Interest Nov 16, 2022 9%
TPH Reinvestment Fund LLC Organization, Madisonville, LA LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2022 45%
Commcare Management Corporation Organization, Mandeville, LA Corporation, For-profit Operational/Managerial Control Nov 16, 2022 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Notre Dame Hospice of Greater Baton RougeBaton Rouge, LA, CCN 191600 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 16, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Post Acute Holdings LLC

    dba Notre Dame Hospice of Greater Baton Rouge

    • Community Based Hospice Care Agency
    • Baton Rouge, LA
    • NPI 1518358266

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Change-of-ownership history 2

DateEventCounterparty
Nov 16, 2022 Change of OwnershipThis provider was the buyer Notre Dame Hospice of MississippiCCN 251685, MS, NPI 1609215391
Nov 16, 2022 Change of OwnershipThis provider was the seller Notre Dame Hospice of MississippiCCN 251685, MS, NPI 1609215391

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1609215391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713082",
            "telephone_number": "504-324-8950",
            "fax_number": "985-624-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E ALOHA DR STE K",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253380",
            "telephone_number": "228-687-1385",
            "fax_number": "504-227-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "PSARELLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "504-324-8950"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070669",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE DEPT OF HEALTH",
            "identifier": "026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Notre Dame Hospice of Mississippi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Notre Dame Hospice of Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamondhead, MS

Sources for this page

Verify at the official NPI Registry.