Active NPI
Covenant Hospice & Palliative Care LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Worth, TX
National Provider Identifier
1497570980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- COVENANT HOSPICE & PALLIATIVE CARE LLC
- Practice address
- 2630 West Fwy Ste 130
Fort Worth, TX 76102-7117 - Phone
- (817) 735-8741
- NPI assigned
- Nov 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Adkins
- Title
- SVP, Chief Legal Officer
- Phone
- (615) 926-0340
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2630 West Fwy Ste 130
Fort Worth, TX 76102-7117
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Compassus - Fort Worth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250313004148 | TX | Part B Supplier - Clinic/Group Practice | 2860716313 | Practice locations: Fort Worth, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1417139619
2860716313
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1497570980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CADILLAC DR STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271001",
"telephone_number": "417-841-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 WEST FWY STE 130",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761027117",
"telephone_number": "817-735-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HOSPICE & PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "615-926-0340"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus - Fort Worth",
"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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.