Covenant Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

05-009876-1 Issued in IN

Legal business name

COVENANT HOSPICE, LLC

Practice address

1029 S 14TH St
New Castle, IN 47362-2742

Phone

(765) 529-6667

Fax

(765) 529-7094

NPI assigned

Jun 15, 2005

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Patterson, CPA

Title

President

Phone

(859) 273-1225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1235134545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 PARK CENTRAL AVE",
            "address_2": "UNIT B 5",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569019",
            "telephone_number": "859-273-1225",
            "fax_number": "859-273-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 S 14TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622742",
            "telephone_number": "765-529-6667",
            "fax_number": "765-529-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-273-1225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "05-009876-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200385840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Caleb Conley, D.D.S
• Brian Conway, RPH
• Anida A Cook, LPN
• Kaytlin Denise Coomer, RBT
• Tanya Cornett
• Elizabeth Covington, MSW
• Gwen Cox, RBT
• Molly Anne Cox, PA
• Layla Crabtree
• John Cranor, CRNA

• Community Based Hospice Care Agency in New Castle, IN
• Providers in New Castle, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.