Covenant Hospice Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

5025095 Issued in FL

Legal business name

COVENANT HOSPICE INC

Practice address

8383 N Davis Hwy
Pensacola, FL 32514-6039

Phone

(850) 205-0920

Fax

(850) 479-6167

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• COVENANT HOSPICE INPATIENT UNIT AT WEST FL HOSPITAL 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": "1598054400000",
    "number": "1891850392",
    "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": "8383 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146039",
            "telephone_number": "850-205-0920",
            "fax_number": "850-479-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "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": "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT HOSPICE INPATIENT UNIT AT WEST FL HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 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.