Covenant Hospice Inc

LBN: Covenant Hospice Inc
Covenant Hospice Inc is an health care organization with primary practice located at 220 Eglin Pkwy Ne , Fort Walton Beach FL 32547-2857. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Covenant Hospice Inc can be contacted via phone (850) 729-1800, or through Cleneay, Roland via phone (850) 433-2155.

Contact Information

Primary practice address
220 Eglin Pkwy Ne Fort Walton Beach FL 32547-2857
Phone: (850) 729-1800
Fax: (850) 863-6191
Website:
Map and Directions
Authorized official contact:
Name: Cleneay, Roland
Phone: (850) 433-2155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 5025095 Florida

Profile Details

NPI number 1023173432
LBN Legal business name Covenant Hospice Inc
DBA Doing business as
Authorized official Cleneay, Roland
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2006
Last updated Oct 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023173432 NPPES
Florida MEDICAID 087517100
Florida Other U20

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