Organization
COVENANT HOMECARE
Active
Parent organization
COVENANT HOMECARE
Other names
Covenant Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT HOMECARE
Authorized official
MR. JOHN L HUSKEY (PRESIDENT)
(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) 374-2061
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
0000000364
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0000000364
TN
363LC1500X
Community Health Nurse Practitioner
0000000364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152215
—
TN
01
—
195889
BLUE CROSS / BLUE SHIELD
TN
01
—
7868433
AETNA
TN
Enumeration date
12/30/2011
Last updated
02/08/2014
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