Organization
COVENANT HOSPICE & PALLIATIVE CARE LLC
Active
Organization
COVENANT HOSPICE & PALLIATIVE CARE LLC
Active
Parent organization
COVENANT HOSPICE & PALLIATIVE CARE, L.P.
Other names
Covenant HP Care LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT HOSPICE & PALLIATIVE CARE, L.P.
Authorized official
MR. RUSSELL G ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
2630 WEST FWY STE 130, FORT WORTH, TX 76102-7117
(817) 735-8741
(817) 735-8836
Mailing address
10 CADILLAC DR STE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
011688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011688
STATE HOSPICE LICENSE
TX
01
—
45-1791
MEDICARE PROVIDER NUMBER
TX
Enumeration date
11/29/2007
Last updated
06/09/2020
Update your record
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