COVENANT HOSPICE INC (NPI# 1023173432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023173432 |
| Entity Type | Organization |
| Organization Name | COVENANT HOSPICE INC |
| Practice Address |
220 Eglin Pkwy Ne Fort Walton Beach FL 32547-2857 |
| Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
| Practice Telephone | 8507291800 |
| Practice Fax Number | 8508636191 |
| Mailing Telephone | 8504332155 |
| Mailing Fax Number | 8502025819 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | MR. DALE O KNEE (PRESIDENT CEO) |
| Authorized Official Telephone | 2514332155 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT HOSPICE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 5025095 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | U20 | 01 |
| FL | 087517100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568527067 | Covenant Hospice Inc | Hospice Care, Community Based | 107 W 19th St, Panama City, FL 32405-4647 | 2006-12-26 |
| 1093870594 | Covenant Hospice Inc | Hospice Care, Community Based | 4215 Kelson Ave, Suite E, Marianna, FL 32446-6502 | 2006-12-26 |
| 1164587655 | Covenant Hospice Inc | Hospice Care, Community Based | 6479 Caroline St, Suite B, Milton, FL 32570-4590 | 2006-12-26 |
| 1366507865 | Covenant Hospice Inc | Hospice, Inpatient | 10075 Hillview Dr, Pensacola, FL 32514-5469 | 2006-12-26 |
| 1558426056 | Covenant Hospice Inc | Hospice Care, Community Based | 1921 Capital Cir Ne, Tallahassee, FL 32308-4492 | 2006-12-26 |
| 1194880690 | Covenant Hospice Inc | Hospice Care, Community Based | 3383 S Ferdon Blvd # B-5, Crestview, FL 32536-8484 | 2006-12-26 |
| 1841354974 | Covenant Hospice Inc | Hospice Care, Community Based | 3201 Dauphin St, Suite D, Mobile, AL 36606-4057 | 2006-12-21 |
| 1912061037 | Covenant Hospice Inc | Hospice Care, Community Based | 1023 Douglas Ave, Suite 204, Brewton, AL 36426-1586 | 2006-12-21 |
| 1801950910 | Covenant Hospice Inc | Hospice Care, Community Based | 1040 Stanton Road, Suite D, Daphne, AL 36526-4143 | 2006-12-21 |
| 1972555464 | Covenant Hospice Inc | Hospice Care, Community Based | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2006-05-16 |
| Street Address |
220 EGLIN PKWY NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912527961 | Brieanne Nichole Kremer | Registered Nurse | 220 Eglin Pkwy Ne, Fort Walton Beach, FL 32547-2857 | 2020-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800487 | Kita Corp | Hospice Care, Community Based | 5821 Mayo St, Miramar, FL 33023-2331 | 2020-10-26 |
| 1346854320 | Wilco Civil, D.o. Pllc | Hospice Care, Community Based | 18598 Milton Keynes Ct, Land O Lakes, FL 34638-2202 | 2020-09-07 |
| 1720691017 | Good Shepherd Hospice, Inc. | Hospice Care, Community Based | 11400 Overseas Hwy Ste 201, Marathon, FL 33050-3600 | 2020-08-26 |
| 1356953483 | Wellness Homecare LLC | Hospice Care, Community Based | 4320 Sunbeam Rd Apt 315, Jacksonville, FL 32257-8829 | 2020-08-19 |
| 1689282592 | Amzn Eco LLC | Hospice Care, Community Based | 5610 Fort Caroline Rd Ste 6, Jacksonville, FL 32277-1794 | 2020-07-16 |
| 1316564685 | All American Hospice, LLC | Hospice Care, Community Based | 1906 Skyline Blvd, Cape Coral, FL 33991-3388 | 2020-07-02 |
| 1871110858 | Continuum Care of Broward LLC | Hospice Care, Community Based | 7771 W Oakland Park Blvd Ste 150, Sunrise, FL 33351-6705 | 2020-06-25 |
| 1174150452 | Sls Caring Hands | Hospice Care, Community Based | 8767 Norfolk Blvd, Jacksonville, FL 32208-1915 | 2020-03-25 |
| 1437783453 | Onsite Dental Solutions | Hospice Care, Community Based | 11924 Forest Hill Blvd # 10b, Wellington, FL 33414-6256 | 2020-02-28 |
| 1831721786 | Tc Cares, LLC | Hospice Care, Community Based | 318 Irving Bend Dr, Groveland, FL 34736-8248 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on COVENANT HOSPICE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.