COVENANT HOME HEALTH CARE, LLC (NPI# 1598325714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598325714 |
Entity Type | Organization |
Organization Name | COVENANT HOME HEALTH CARE, LLC |
Practice Address |
107 W. 19th Street Panama City FL 32405 |
Mailing Address |
5041 N. 12th Aveneue Pensacola FL 32504 |
Practice Telephone | 8504709288 |
Mailing Telephone | 8504332155 |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |
Authorized Official Name | THOMAS MARTIN FRANKLIN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8504332155 |
Is Organization Subpart | Y |
Parent Organization Name | COVENANT HEALTH AND COMMUNITY SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
Other Name | Type Code |
---|---|
Covenant Home Health Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
1962400077 | Covenant Home Health Care, LLC | Home Health | 11375 Robinson Dr Nw, Suite 104, Coon Rapids, MN 55433-2590 | 2005-07-12 |
1922273309 | Covenant Home Health Care, LLC | Home Health | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2008-04-25 |
1720253107 | Covenant Home Health Care, LLC | Home Health | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2008-04-25 |
Street Address |
107 W. 19TH STREET |
City | PANAMA CITY |
State | FL |
Zip Code | 32405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
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 |
1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
Find all providers in zip 32405 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306323993 | Annie Ruth Mckenzie | Home Health | 700 Transmitter Rd Lot 74, Panama City, FL 32401-5395 | 2018-07-26 |
1427417419 | Lovely Heart Service | Home Health | 2805 Evelyn Ave Apt 3a, Panama City, FL 32405-5861 | 2016-02-18 |
1235560673 | We Care for You LLC | Home Health | 4930 Hensey Ave, Panama City, FL 32404-6813 | 2013-12-11 |
1851645360 | Ahmed M Katoot | Home Health | 217 E. 23rd Street, Suite E, Panama City, FL 32405-4556 | 2012-11-06 |
1609154392 | Love Ones | Home Health | 3124 A St, Panama City, FL 32404-2003 | 2011-07-28 |
1851689715 | Careminders-panama City, Inc. | Home Health | 330 West 23rd St., Suite F, Panama City, FL 32405-4540 | 2011-07-13 |
1386780757 | Lisenby Home Care, Inc. | Home Health | 412 N Cove Blvd, Panama City, FL 32401-3726 | 2007-01-30 |
1912050162 | Medical Services of Northwest Florida | Home Health | 17208 Back Beach Road, Panama City, FL 32413 | 2007-01-19 |
1871654210 | Interim Healthcare of Nw Fl Inc | Home Health | 2679 Jenks Ave, Panama City, FL 32405-4351 | 2006-12-12 |
1083648950 | Gentiva Health Services (certified), Inc. | Home Health | 1013 Beck Ave, Panama City, FL 32401-1454 | 2006-07-10 |
Find all providers in PANAMA CITY |
City | PANAMA CITY |
Zip Code | 32405 |
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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.