Covenant Hospice Childrens Program

LBN: Covenant Hospice Inc
Covenant Hospice Childrens Program is an health care organization with primary practice located at 5041 N 12Th Ave , Pensacola FL 32504-8916. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Covenant Hospice Inc can be contacted via phone (850) 433-2155, or through Cleneay, Roland via phone (850) 433-2155.

Contact Information

Primary practice address
5041 N 12Th Ave Pensacola FL 32504-8916
Phone: (850) 433-2155
Fax: (850) 202-5819
Website:
Map and Directions
Authorized official contact:
Name: Cleneay, Roland
Phone: (850) 433-2155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 5025095 Florida

Profile Details

NPI number 1154486017
LBN Legal business name Covenant Hospice Inc
DBA Doing business as Covenant Hospice Childrens Program
Authorized official Cleneay, Roland
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Oct 8th, 2021 - about 4 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 1154486017 NPPES
Florida MEDICAID 087517108

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