Active NPI
Covenant Palliative Care Services, LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Pensacola, FL
National Provider Identifier
1710398136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- COVENANT PALLIATIVE CARE SERVICES, LLC
- Practice address
- 5041 N 12TH Ave
Pensacola, FL 32504-8916 - Phone
- (850) 433-2155
- Fax
- (850) 202-5819
- NPI assigned
- May 20, 2014
- 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
- Mr. Roland Cleneay
- Title
- Cfo
- Phone
- (850) 433-2155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
5041 N 12TH Ave
Pensacola, FL 32504-8916
Mailing address
5041 N 12TH Ave
Pensacola, FL 32504-8916
Phone (850) 433-2155
National Provider Directory
National Provider DirectoryLocations
1512 W Main St
Dothan, AL 36301
Phone (850) 805-4100
3929 Airport Blvd
Ste 3-307
Mobile, AL 36609
Phone (251) 478-8671
3103 Airport Blvd
Ste 410
Mobile, AL 36606
Phone (251) 470-2540
6701 Airport Blvd
Ste D240B
Mobile, AL 36608
Phone (251) 264-3009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1194799288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642550400000",
"number": "1710398136",
"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": "5041 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048916",
"telephone_number": "850-433-2155",
"fax_number": "850-202-5819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT PALLIATIVE CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-20",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"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": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.