COVENANT HOSPICE, INC.


Address: 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608
Phone: 8504332155

COVENANT HOSPICE, INC. (NPI# 1023562865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023562865
Entity Type Organization
Organization Name COVENANT HOSPICE, INC.
Other Organization Name COVENANT HOSPICE INPATIENT CENTER AT PROVIDENCE HOSPITAL
Practice Address 6801 Airport Blvd.
Main Tower, 11th Floor North
Mobile
AL 36608
Mailing Address 5041 N. 12th Ave.
Pensacola
FL 32504
Practice Telephone 8504332155
Mailing Telephone 8504332155
Enumeration Date 2016-08-10
Last Update Date 2017-09-20
Authorized Official Name ODIN G BERG (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8504332155
Is Organization Subpart Y
Parent Organization Name COVENANT HOSPICE, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
Y 315D00000X Hospice, Inpatient 5025095 FL Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Covenant Hospice Inpatient Center at Providence Hospital Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528383254 Covenant Hospice, Inc. Public Health or Welfare 1545 Raymond Diehl Rd, Tallahassee, FL 32308-1514 2010-04-06
1659572915 Covenant Hospice, Inc. Pharmacy 10075 Hillview Dr, Pensacola, FL 32514-5469 2007-05-31

Office Location

Street Address 6801 AIRPORT BLVD.
MAIN TOWER, 11TH FLOOR NORTH
City MOBILE
State AL
Zip Code 36608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475524 Grantham Dental, Inc. Dentist 3620 Springhill Memorial Drive South, Mobile, AL 36608 2020-10-21
1114540879 Dearrius Hines Home Health Aide 1370 Lucerne Dr, Mobile, AL 36608 2020-05-28
1558980409 Rachel Stevens Registered Nurse 8507 Tanner Williams Rd, Mobile, AL 36608 2020-04-10
1073170700 Usa Health Physician Billing Services LLC Otolaryngology 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 2019-05-29
1952885600 Franklin Primary Health Center Inc. Dentist 990 Cody Rd North, Mobile, AL 36608 2018-09-19
1114410040 Zackary Elkins Optometrist 105 W I65 Service Rd N, Mobile, AL 36608 2018-06-14
1730575416 Rayven Likely Student in an Organized Health Care Education/Training Program 1014 Centerwood Dr, Mobile, AL 36608 2015-04-09
1598040461 Robert S Harlin Specialist 75 Clarise Circle, Mobile, AL 36608 2011-10-11
1972884948 Heidi Michelle Mcdermott Physical Therapist 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 2011-09-06
1548556947 Natasha H Andrews Nurse Practitioner 116 Carondolet Court West, Mobile, AL 36608 2011-06-23
Find all providers in zip 36608

Taxonomy Information

Taxonomy Code 315D00000X
Grouping Nursing & Custodial Care Facilities
Classification Hospice, Inpatient

Taxonomy Definition

A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
Notes: Source: AHA Guide, American Hospital Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134109515 Springhill Memorial Hospice Hospice, Inpatient 3719 Dauphin St, Mobile, AL 36608-1753 2006-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497222459 Woodstock Health Services. LLC Hospice, Inpatient 409 E 10th St Ste 200, Anniston, AL 36207-4781 2018-10-29
1366993230 Homestead Hospice of Cahaba Hospice, Inpatient 3005 Citizens Parkway, Selma, AL 36701 2016-10-17
1548580921 Independent Medical Equipment Hospice, Inpatient 2330 Decatur Hwy, Gardendale, AL 35071-2396 2010-06-08
1194896712 Bethany House of East Alabama Medical Center Hospice, Inpatient 1171 Gatewood Dr, Auburn, AL 36830-1817 2006-11-13
1013954528 Aseracare Hospice - Birmingham, LLC Hospice, Inpatient 450 Century Park S, Suite 112b, Hoover, AL 35226-3941 2006-06-01
1023575032 Lakeside Hospice Inc. Hospice, Inpatient 409 E 10th St Ste 200, Anniston, AL 36207-4781 2019-02-26
1972749398 The Health Care Authority for Baptist Health Hospice, Inpatient 2105 E South Blvd, Montgomery, AL 36116-2409 2009-01-07

Competitor

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City MOBILE
Zip Code 36608

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Dataset Information

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.

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