MEDICARE: COVENANT HOSPICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	5025095	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	U20	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568527067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVENANT HOSPICE INC

Provider Business Mailing Address
First Line	:	5041 N 12TH AVE
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8916
Country	:	US
Telephone Number	:	850-433-2155
Fax Number	:	850-202-5819

Provider Business Practice Location Address
First Line	:	3109 MINNESOTA AVE STE 150&160
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5026
Country	:	US
Telephone Number	:	850-785-3040
Fax Number	:	850-785-2552

Authorized Official
Title or Position	:	CFO
Name	:	MR. ROLAND CLENEAY
Credential	:
Telephone Number	:	850-433-2155

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	04/01/2022

Similar Medicare Providers

1639880784 — DR. TIMOTHY J STAEBELL LMFT, LMHC
Practice Location Address:

3109 MINNESOTA AVE
PANAMA CITY, FL
32405-5026

Practice Phone: 850-624-8626
Practice Fax:

1710492392 — SHILOH LEANNE SIMMONS ARNP
Practice Location Address:

5668 JOSEPH RD
PANAMA CITY, FL
32404-5026

Practice Phone: 850-381-0694
Practice Fax: 850-652-9307

1851322622 — NADINE V COLBERT III APRN
Practice Location Address:

3901 RAINBOW BLVD , 5026 WESCOE, MAIL STOP 2026
KANSAS CITY, KS
66160

Practice Phone: 913-588-6009
Practice Fax: 913-588-8182

1619163250 — RISING SUN CHIROPRACTIC & REHABILITATION, INC
Practice Location Address:

5026 WELLINGTON AVE
VENTNOR CITY, NJ
08406-1443

Practice Phone: 609-822-9090
Practice Fax:

1972765808 — PAUL SCOTT SCHMIDT MD
Practice Location Address:

3901 RAINBOW BLVD , 5026 WESCOE, MAILSTOP 2026
KANSAS CITY, KS
66160

Practice Phone: 913-588-3402
Practice Fax: 913-588-8182

1942440797 — JOANN M LOEFFLER APRNC
Practice Location Address:

5026 READING AVE
EGG HARBOR CITY, NJ
08215-4414

Practice Phone: 609-412-0211
Practice Fax:

Directions to “COVENANT HOSPICE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.