Organization
COVENANT HOSPICE INC
Active
Organization
COVENANT HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND CLENEAY (CFO)
(850) 433-2155
Entity
Organization
Contact information
Practice address
6479 CAROLINE ST, SUITE B, MILTON, FL 32570-4590
(850) 202-5930
(850) 202-5932
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 433-2155
(850) 202-5819
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5025095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087517100
—
FL
01
—
U20
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/26/2006
Last updated
10/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up