NPIMap

Organization Active NPI

Covenant Hospice, Inc.

  • Inpatient Hospice
  • Mobile, AL
National Provider Identifier
1023562865
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
5025095 Issued in FL
Legal business name
COVENANT HOSPICE, INC.
Practice address
6801 Airport Blvd.
Main Tower, 11TH Floor North
Mobile, AL 36608
Phone
(850) 433-2155
NPI assigned
Aug 10, 2016
Last updated
Oct 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT HOSPICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roland Cleneay
Title
Cfo
Phone
(850) 433-2155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 5025095 FL Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

6801 Airport Blvd.
Main Tower, 11TH Floor North
Mobile, AL 36608

Mailing address

5041 N. 12TH Ave.
Pensacola, FL 32504
Phone (850) 433-2155

Other names 1

  • Covenant Hospice Inpatient Center at Providence Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Covenant Hospice Inc9 organizations share this tax ID, including this one
Part of
Covenant Hospice Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1023562865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 N. 12TH AVE.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-433-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD.",
            "address_2": "MAIN TOWER, 11TH FLOOR NORTH",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "850-433-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT HOSPICE, INC.",
        "enumeration_date": "2016-08-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "CLENEAY",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-433-2155"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "FL",
            "license": "5025095",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Hospice Inpatient Center at Providence Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Covenant Hospice Inpatient Center at Providence Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.