Covenant Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

5025095 Issued in FL

Legal business name

COVENANT HOSPICE INC

Practice address

6479 Caroline St
Suite B
Milton, FL 32570-4590

Phone

(850) 202-5930

Fax

(850) 202-5932

NPI assigned

Dec 26, 2006

Organization subpart

No

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 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1164587655",
    "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": "325048916",
            "telephone_number": "850-433-2155",
            "fax_number": "850-202-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6479 CAROLINE ST",
            "address_2": "SUITE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704590",
            "telephone_number": "850-202-5930",
            "fax_number": "850-202-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "5025095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "U20",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087517100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakendra Capri Cook
• Magan Cook, ARNP
• Tasha Cook, RBT
• Danielle Marie Costantini, OTR/L
• Council With Care
• William Donald Covill, CRNA
• Kaitlin Cox, PA-C
• Michael J Coyle, D.O.
• Shannon Craddock
• Michele L Cranford

• Community Based Hospice Care Agency in Milton, FL
• Providers in Milton, FL by specialty
• Community Based Hospice Care Agency in Florida

• 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.