COVENANT HOSPICE INC (NPI# 1841354974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841354974 |
Entity Type | Organization |
Organization Name | COVENANT HOSPICE INC |
Practice Address |
3201 Dauphin St Suite D Mobile AL 36606-4057 |
Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
Practice Telephone | 2514788671 |
Practice Fax Number | 2514786931 |
Mailing Telephone | 8504332155 |
Mailing Fax Number | 8502025819 |
Enumeration Date | 2006-12-21 |
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 | E4910 | AL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS BLUE SHIELD | 012-506 | 01 |
AL | PIC1011E | 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 |
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 |
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 |
3201 DAUPHIN ST SUITE D |
City | MOBILE |
State | AL |
Zip Code | 36606-4057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
Find all providers in zip 36606 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194191155 | Ascera Care | Hospice Care, Community Based | 6633 Red Maple Dr, Mobile, AL 36618-4831 | 2015-08-13 |
1194164491 | Smith Healthcare Service LLC | Hospice Care, Community Based | 442 Cottage Hill Rd, Apt A101, Mobile, AL 36606-4726 | 2013-06-19 |
1720335680 | Lhcg Xxxiv, LLC | Hospice Care, Community Based | 6001 Airport Blvd Ste A, Mobile, AL 36608-3142 | 2012-08-10 |
1598948952 | The Harbor Community Hospice LLC | Hospice Care, Community Based | 1058 Persimmon St, Mobile, AL 36603-5732 | 2007-12-07 |
1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
1023184843 | Destiny Hospice Palliative Care, Specialty Services, Inc. | Hospice Care, Community Based | 3759 Government Blvd, Mobile, AL 36693-4307 | 2006-11-24 |
1134139868 | Saad Hospice Services, Inc. | Hospice Care, Community Based | 1515 University Blvd S, Mobile, AL 36609-2958 | 2006-08-08 |
1558309930 | Southerncare Inc | Hospice Care, Community Based | 3100 Cottage Hill Rd, Ste 112 & 117, Mobile, AL 36606-2913 | 2006-06-04 |
1992742431 | Aseracare Hospice - Monroeville, LLC | Hospice Care, Community Based | 1201 Montlimar Dr Ste 100, Mobile, AL 36609-1718 | 2006-06-01 |
1114971967 | Homechoice of Alabama, LLC | Hospice Care, Community Based | 22 Mobile St, Mobile, AL 36607-3121 | 2006-05-19 |
Find all providers in MOBILE |
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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.