Covenant Hospice Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

5025095 Issued in FL

Legal business name

COVENANT HOSPICE INC

Practice address

10075 Hillview Dr
Pensacola, FL 32514-5469

Phone

(850) 484-3529

Fax

(850) 484-2770

NPI assigned

Dec 26, 2006

Last updated

Oct 10, 2021By 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. Roland Cleneay

Title

Cfo

Phone

(850) 433-2155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JOYCE GOLDENBERG HOSPICE RESIDENCE Other name

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": "1366507865",
    "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": "10075 HILLVIEW DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145469",
            "telephone_number": "850-484-3529",
            "fax_number": "850-484-2770"
        }
    ],
    "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "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": [
        {
            "organization_name": "JOYCE GOLDENBERG HOSPICE RESIDENCE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JOYCE GOLDENBERG HOSPICE RESIDENCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenneth Counselman, MD
• Evan Kelly Courtney, PA-C
• James E. Covan Jr., DMD, MPH
• Covenant Home Health Care, LLC (Concierge Home Care)
• Covenant Hospice Inc
• Covenant Hospice Inc
• Covenant Hospice Inpatient & Palliative Care Center
• Covenant Hospice, Inc.
• Covenant Hospice,Inc
• Covenant Memory Care Center at the Joyce Goldenberg Campus, LLC (Covenant Memory Care Center and The Residence)

• Inpatient Hospice in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Inpatient Hospice 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.