Organization Active NPI

Covenant Hospice & Palliative Care, LP

Doing business as Covenant Care

  • Community Based Hospice Care Agency
  • Fort Worth, TX
National Provider Identifier
1396742805
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007583 Issued in TX
Legal business name
COVENANT HOSPICE & PALLIATIVE CARE, LP
Doing business as
Covenant Care
Practice address
3221 Collinsworth St
Ste 160
Fort Worth, TX 76107-6577
Phone
(817) 735-8741
Fax
(817) 735-8836
NPI assigned
Jun 30, 2005
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. David P Capper, M.D.NPI 1720075690
Title
Administrator
Phone
(817) 735-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007583 TX Primary

Addresses

Primary practice location

3221 Collinsworth St
Ste 160
Fort Worth, TX 76107-6577

Mailing address

3221 Collinsworth St
Suite 160
Fort Worth, TX 76107-6577
Phone (817) 735-8741

Other identifiers 2

IdentifierTypeStateIssuer
001003206MedicaidTX
007583OtherTXHCSSA STATE LICENSE #

Other names 1

  • Covenant Care Doing business as

National Provider Directory

National Provider Directory

Locations

3221 Collinsworth St
Ste 160
Ft Worth, TX 76107
Phone (817) 735-8741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1396742805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 COLLINSWORTH ST",
            "address_2": "SUITE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076577",
            "telephone_number": "817-735-8741",
            "fax_number": "817-735-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 COLLINSWORTH ST",
            "address_2": "STE 160",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076577",
            "telephone_number": "817-735-8741",
            "fax_number": "817-735-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE & PALLIATIVE CARE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "CAPPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-735-8741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "007583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA STATE LICENSE #",
            "identifier": "007583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.