COVENANT HOSPICE INC (NPI# 1164587655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164587655 |
| Entity Type | Organization |
| Organization Name | COVENANT HOSPICE INC |
| Practice Address |
6479 Caroline St Suite B Milton FL 32570-4590 |
| Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
| Practice Telephone | 8502025930 |
| Practice Fax Number | 8502025932 |
| Mailing Telephone | 8504332155 |
| Mailing Fax Number | 8502025819 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MR. DALE O KNEE (PRESIDENT CEO) |
| Authorized Official Telephone | 2514332155 |
| Is Organization Subpart | N |
| 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 |
| 1366507865 | Covenant Hospice Inc | Hospice, Inpatient | 10075 Hillview Dr, Pensacola, FL 32514-5469 | 2006-12-26 |
| 1023173432 | Covenant Hospice Inc | Hospice Care, Community Based | 220 Eglin Pkwy Ne, Fort Walton Beach, FL 32547-2857 | 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 |
6479 CAROLINE ST SUITE B |
| City | MILTON |
| State | FL |
| Zip Code | 32570-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943066 | Jessica Marie Graziano | Behavior Technician | 6479 Caroline St, Milton, FL 32570-4590 | 2020-05-13 |
| 1770123846 | Lisa Marie Wilson | Behavior Technician | 6479 Caroline St, Milton, FL 32570-4590 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 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.