NPIMap

Organization Active NPI

Covenant Hospice Inc

  • Community Based Hospice Care Agency
  • Mobile, AL
National Provider Identifier
1841354974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
E4910 Issued in AL
Legal business name
COVENANT HOSPICE INC
Practice address
3201 Dauphin St
Suite D
Mobile, AL 36606-4057
Phone
(251) 478-8671
Fax
(251) 478-6931
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale O Knee
Title
President Ceo
Phone
(850) 433-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X E4910 AL Primary

Addresses

Primary practice location

3201 Dauphin St
Suite D
Mobile, AL 36606-4057

Mailing address

5041 N 12TH Ave
Pensacola, FL 32504-8916
Phone (850) 433-2155

Other identifiers 2

IdentifierTypeStateIssuer
012-506OtherALBLUE CROSS BLUE SHIELD
PIC1011EMedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Covenant Hospice Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Dauphin St
Ste D
Mobile, AL 36606
Phone (251) 313-9502

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841354974",
    "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": "3201 DAUPHIN ST",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064057",
            "telephone_number": "251-478-8671",
            "fax_number": "251-478-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNEE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "850-433-2155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "E4910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "012-506",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1011E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.