COVENANT HOSPICE INC (NPI# 1568527067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568527067 |
| Entity Type | Organization |
| Organization Name | COVENANT HOSPICE INC |
| Practice Address |
107 W 19th St Panama City FL 32405-4647 |
| Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
| Practice Telephone | 8507853040 |
| Practice Fax Number | 8507852552 |
| 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 | 251G00000X | Hospice Care, Community Based | 5025095 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 087517100 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | U20 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
107 W 19TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404641 | Kelly Marie Cabana | Nurse Practitioner | 107 W 19th St, Panama City, FL 32405-4647 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538523568 | Lovely Heart Service | Hospice Care, Community Based | 2437 E 11th St, D-102, Panama City, FL 32401-4467 | 2016-04-06 |
| 1952337149 | Hospice of The Emerald Coast, Inc. | Hospice Care, Community Based | 401 E 23rd St Ste C, Panama City, FL 32405-7616 | 2006-06-23 |
| 1164797726 | Covenant Hospice I/p Unit @bay Medical | Hospice Care, Community Based | 615 N Bonita Ave, 3rd Floor South, Panama City, FL 32401-3623 | 2012-03-15 |
| 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 | PANAMA CITY |
| Zip Code | 32405 |
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.