Organization
COVENANT HOMECARE
Active
Other names
Covenant HomeCare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HUSKEY (CHIEF EXECUTIVE OFFICER)
(865) 374-0602
Entity
Organization
Contact information
Practice address
3001 LAKE BROOK BLVD, SUITE 101, KNOXVILLE, TN 37909-1100
(865) 374-0600
(865) 374-2061
Mailing address
3001 LAKE BROOK BLVD, SUITE 101, KNOXVILLE, TN 37909-1100
(865) 374-0600
(865) 374-2024
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0000000364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152215
—
TN
01
—
070036899
EEOICPA
TN
05
—
100020421
—
TN
01
—
195889
BLUE CROSS / BLUE SHIELD
TN
01
—
702002369
CARITEN
TN
01
—
7868433
AETNA
TN
Enumeration date
09/29/2005
Last updated
12/18/2014
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