COVENANT HOSPICE INC (NPI# 1366507865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366507865 |
Entity Type | Organization |
Organization Name | COVENANT HOSPICE INC |
Other Organization Name | JOYCE GOLDENBERG HOSPICE RESIDENCE |
Practice Address |
10075 Hillview Dr Pensacola FL 32514-5469 |
Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
Practice Telephone | 8504843529 |
Practice Fax Number | 8504842770 |
Mailing Telephone | 8504332155 |
Mailing Fax Number | 8502025819 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DALE O KNEE (PRESIDENT CEO) |
Authorized Official Telephone | 8504332155 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315D00000X | Hospice, Inpatient | 5025095 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | U20 | 01 |
Other Name | Type Code |
---|---|
JOYCE GOLDENBERG HOSPICE RESIDENCE | Other Name - Individual/Organization |
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 |
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 |
10075 HILLVIEW DR |
City | PENSACOLA |
State | FL |
Zip Code | 32514-5469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417437005 | Covenant Memory Care Center At The Joyce Goldenberg Campus, LLC | Assisted Living Facility | 10075 Hillview Dr, Pensacola, FL 32514-5469 | 2018-08-14 |
1659572915 | Covenant Hospice, Inc. | Pharmacy | 10075 Hillview Dr, Pensacola, FL 32514-5469 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
Find all providers in zip 32514 |
Taxonomy Code | 315D00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Hospice, Inpatient |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598274664 | Covenant Hospice,inc | Hospice, Inpatient | 5151 N 9th Ave Fl 1, Pensacola, FL 32504-8721 | 2017-09-21 |
1942401641 | Covenant Hospice Inpatient & Palliative Care Center | Hospice, Inpatient | 8383 N Davis Hwy, Pensacola, FL 32514-6039 | 2007-05-30 |
1891850392 | Covenant Hospice Inc | Hospice, Inpatient | 8383 N Davis Hwy, Pensacola, FL 32514-6039 | 2006-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063795805 | Univita | Hospice, Inpatient | 802 E Virginia Ave, Tampa, FL 33603-5031 | 2011-09-27 |
1801990429 | Memorial Hospital Flagler Inc | Hospice, Inpatient | 770 W Granada Blvd Ste 304, Ormond Beach, FL 32174-5180 | 2006-09-12 |
1699742783 | North Central Florida Hospice, Inc. | Hospice, Inpatient | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 | 2006-03-07 |
1942845185 | Mohammed Care LLC | Hospice, Inpatient | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2019-11-12 |
1346801024 | Jean Geriatrics, Pllc | Hospice, Inpatient | 3450 Rowland Dr, Port Charlotte, FL 33980-2284 | 2019-06-24 |
1538174263 | Hospice of Palm Beach County, Inc. | Hospice, Inpatient | 5300 East Ave, West Palm Beach, FL 33407-2387 | 2006-07-30 |
1275553018 | Hospice of The Comforter Inc | Hospice, Inpatient | 480 W Central Pkwy, Altamonte Springs, FL 32714-2415 | 2006-07-21 |
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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.