COVENANT HOSPICE & PALLIATIVE CARE LLC NPI 1417139619

NPI Information

NPI: 1417139619
Provider Name: COVENANT HOSPICE & PALLIATIVE CARE LLC

Doing Business As: COVENANT HP CARE LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
2630 WEST FWY STE 130
FORT WORTH, TX
ZIP 76102
Phone: (817) 735-8741
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COVENANT HOSPICE & PALLIATIVE CARE LLC is a hospice care community based in Fort Worth, TX. COVENANT HOSPICE & PALLIATIVE CARE LLC NPI is 1417139619. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Hp Care Llc.

The provider's business location address is:

2630 WEST FWY STE 130
FORT WORTH, TX
ZIP 76102-117
Phone: (817) 735-8741
Fax: (817) 735-8836

The provider's authorized official is Russell G Adkins .
The authorized official title is Svp General Counsel and has the following contact phone number (615) 309-5668.

The CLIA number assigned to this NPI record is 45D1031872 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 6/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		011688	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	011688	OTHER	TEXAS	STATE HOSPICE LICENSE
2	45-1791	OTHER	TEXAS	MEDICARE PROVIDER NUMBER

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

NPI Synchronization or Removal

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