Organization Active NPI

Covenant Home Health Care 4, LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1902458722
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COVENANT HOME HEALTH CARE 4, LLC
Practice address
8206 Philips Hwy Unit 8
Jacksonville, FL 32256-1245
Phone
(850) 433-2155
NPI assigned
Jul 11, 2019
Organization subpart
Yes
Parent organization
COVENANT HEALTH AND COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Michael Hitchcock
Title
VP, Finance
Phone
(850) 433-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8206 Philips Hwy Unit 8
Jacksonville, FL 32256-1245

Mailing address

5101 N 12TH Ave Ste B
Pensacola, FL 32504-8928
Phone (850) 433-2155

National Provider Directory

National Provider Directory

Locations

8837 Goodbys Executive Dr
Ste 203
Jacksonville, FL 32217
Phone (904) 456-8476

8206 Philips Hwy
Unit 8
Jacksonville, FL 32256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1902458722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N 12TH AVE STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048928",
            "telephone_number": "850-433-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 PHILIPS HWY UNIT 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561245",
            "telephone_number": "850-433-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH CARE 4, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT HEALTH AND COMMUNITY SERVICES, INC.",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "850-433-2155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.