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COVENANT HOSPICE INC NPI 1366507865


NPI Information

NPI: 1366507865
Provider Name: COVENANT HOSPICE INC

Other Name: JOYCE GOLDENBERG HOSPICE RESIDENCE

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
10075 HILLVIEW DR
PENSACOLA, FL
ZIP 32514
Phone: (850) 484-3529
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COVENANT HOSPICE INC is a hospice inpatient in Pensacola, FL. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. COVENANT HOSPICE INC NPI is 1366507865. The provider is registered as an organization entity type.
The provider Other Name Is Joyce Goldenberg Hospice Residence.

The provider's business location address is:

10075 HILLVIEW DR
PENSACOLA, FL
ZIP 32514-469
Phone: (850) 484-3529
Fax: (850) 484-2770

The provider's authorized official is Roland Cleneay .
The authorized official title is Cfo and has the following contact phone number (850) 433-2155.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 10/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, Inpatient5025095FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U20OTHERFLORIDABLUE CROSS BLUE SHIELD
2087517100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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