Organization
COVENANT HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HUSKEY (CHIEF EXECUTIVE OFFICER)
(865) 374-0600
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
251E00000X
Home Health Agency
Primary
0000000133
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152215
BLUE CROSS AND BLUE SHIEL
TN
01
—
070036899
EEOICPA
TN
05
—
100020430
—
TN
01
—
5467111
AETNA
TN
01
—
702002087
CARITEN
TN
01
—
7773468
AETNA MORRISTOWN OFFICE
TN
Enumeration date
09/27/2005
Last updated
01/15/2014
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