COVENANT HOME HEALTH CARE, LLC (NPI# 1962054817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962054817 |
| Entity Type | Organization |
| Organization Name | COVENANT HOME HEALTH CARE, LLC |
| Practice Address |
4540 Lafayette Street, Ste. G Marianna FL 32446 |
| Mailing Address |
5041 N. 12th Avenue Pensacola FL 32504 |
| Practice Telephone | 8504709288 |
| Mailing Telephone | 8504709288 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MARTIN THOMAS 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 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 |
4540 LAFAYETTE STREET, STE. G |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| 1639302482 | Heather Lee Bozeman | Pharmacist | 4684 Hwy 90, Marianna, FL 32446 | 2009-08-27 |
| Find all providers in zip 32446 | ||||
| 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 |
|---|---|---|---|---|
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1982750683 | Interim Healthcare of Nw Fl Inc | Home Health | 4306 5th Ave, Marianna, FL 32446-2151 | 2007-01-26 |
| 1093725590 | State of Arkansas | Home Health | 141 North Hicky Street, Lee County Health Unit, Marianna, AR 72360-0668 | 2006-08-08 |
| 1801827258 | Nhc-op Lp | Home Health | 4121 Lafayette St, Marianna, FL 32446-5651 | 2006-07-05 |
| 1265480032 | Housecall Home Health, LLC | Home Health | 2944 Pennsylvania Ave, Suite A, Marianna, FL 32448-2738 | 2006-05-04 |
| 1205143898 | Housecall Home Health, LLC | Home Health | 2944 Pennsylvania Ave, Suite M, Marianna, FL 32448-2738 | 2010-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649252 | The Bla Conglomeration LLC | Home Health | 560 Village Blvd Ste 120, West Palm Beach, FL 33409-1963 | 2020-11-06 |
| 1003417932 | Allcare Home Health LLC | Home Health | 2200 N Commerce Pkwy Ste 255, Weston, FL 33326-3258 | 2020-11-06 |
| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| 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.