COVENANT HOSPICE INC NPI 1972555464

NPI Information

NPI: 1972555464
Provider Name: COVENANT HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 10D2128841

Address:
5041 N 12TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 433-2155
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COVENANT HOSPICE INC is a hospice care community based in Pensacola, FL. COVENANT HOSPICE INC NPI is 1972555464. The provider is registered as an organization entity type.

The provider's business location address is:

5041 N 12TH AVE
PENSACOLA, FL
ZIP 32504-916
Phone: (850) 433-2155

The provider's authorized official is Jeff Mislevy .
The authorized official title is President/ceo and has the following contact phone number (850) 433-2155.

The CLIA number assigned to this NPI record is 10D2128841 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 4/9/2024.

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		5025095	FLORIDA	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	015986100	MEDICAID	FLORIDA
2	U20	OTHER	FLORIDA	BCBS OF FLORIDA

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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