Healthcare Provider Details

I. General information

NPI: 1659923472
Provider Name (Legal Business Name): COVENANT HOME HEALTH CARE 5, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S PINELLAS AVE STE 200
TARPON SPRINGS FL
34689-3673
US

IV. Provider business mailing address

5101 N 12TH AVE STE B
PENSACOLA FL
32504-8928
US

V. Phone/Fax

Practice location:
  • Phone: 727-800-3261
  • Fax:
Mailing address:
  • Phone: 850-433-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HITCHCOCK
Title or Position: VP, FINANCE
Credential:
Phone: 850-433-2155