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COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS LLC NPI 1417437005


NPI Information

NPI: 1417437005
Provider Name: COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS, LLC

Doing Business As: COVENANT MEMORY CARE CENTER AND THE RESIDENCE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
10075 HILLVIEW DR
PENSACOLA, FL
ZIP 32514
Phone: (850) 484-3529
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COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS, LLC is an assisted living facility in Pensacola, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COVENANT MEMORY CARE CENTER AT THE JOYCE GOLDENBERG CAMPUS, LLC NPI is 1417437005. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Memory Care Center And The Residence.

The provider's business location address is:

10075 HILLVIEW DR
PENSACOLA, FL
ZIP 32514-469
Phone: (850) 484-3529
Fax: (888) 239-6554

The provider's authorized official is Odin Berg .
The authorized official title is Chief Financial Officer and has the following contact phone number (850) 433-2155.

The enumeration date for this NPI number is 8/14/2018 and was last updated on 8/14/2018.


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
1310400000XAssisted Living FacilityAL13110FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.