COVENANT HOSPICE, INC (NPI# 1497707962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497707962 |
| Entity Type | Organization |
| Organization Name | COVENANT HOSPICE, INC |
| Practice Address |
1512 W Main St Dothan AL 36301-1314 |
| Mailing Address |
5041 North 12th Avenue Pensacola FL 32504-8916 |
| Practice Telephone | 3347947847 |
| Practice Fax Number | 3347942453 |
| Mailing Telephone | 8504332155 |
| Mailing Fax Number | 8502025819 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-08-19 |
| 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 | 251G00000X | Hospice Care, Community Based | E03503 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PIC1577E | 05 | |
| AL | BCBS OF ALABAMA | 012-265 | 01 |
| Street Address |
1512 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255514410 | New Beacon Healthcare Group, LLC | Hospice Care, Community Based | 1888 Montgomery Hwy, Suite 3, Dothan, AL 36303-3230 | 2007-12-11 |
| 1427244110 | Hc Healthcare, LLC | Hospice Care, Community Based | 3245 Montgomery Hwy, Suite 8, Dothan, AL 36303-2172 | 2007-09-17 |
| 1770519324 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
| 1245278860 | Southerncare, Inc. | Hospice Care, Community Based | 2576 Montgomery Highway, Suite 2, Dothan, AL 36303-2633 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340119 | Five Points Healthcare of Alabama, LLC | Hospice Care, Community Based | 100 Concourse Pkwy Ste 320, Hoover, AL 35244-1857 | 2020-03-09 |
| 1235789900 | Affinity Acquisitions Georgia LLC | Hospice Care, Community Based | 135 Gemini Cir Ste 202, Birmingham, AL 35209-5842 | 2019-09-16 |
| 1609337229 | Encompass Health Hospice of Alabama, LLC | Hospice Care, Community Based | 2400 John Hawkins Pkwy Ste 104b, Hoover, AL 35244-3500 | 2019-03-27 |
| 1124596267 | Encompass Health Hospice of Talladega, LLC | Hospice Care, Community Based | 650 Stone Avenue, Talladega, AL 35160-2217 | 2018-11-07 |
| 1801389150 | Healing Hearts II Hhc | Hospice Care, Community Based | 2420 Morgan Rd, Bessemer, AL 35022-5017 | 2018-06-12 |
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1134663537 | Compassus Op of Alabama LLC | Hospice Care, Community Based | 1400 Urban Center Dr Ste 100, Vestavia, AL 35242 | 2016-12-05 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1831556372 | Lhcg Lxxix, LLC | Hospice Care, Community Based | 111 E Laurel St, Scottsboro, AL 35768-1801 | 2016-01-27 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| Find all providers with the same taxonomy | ||||
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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.