OrganizationActive
Covenant Hospice Inc
NPI 1194880690 · Community Based Hospice Care Agency · Crestview, FL
Provider details
- NPI number
- 1194880690
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Parent organization
- Covenant Hospice Inc
- Organization subpart
- Yes
- Authorized official
- Roland Cleneay, Cfo(850) 433-2155
- License
- 5025095 (FL)
Specialties & taxonomies
Agencies
Practice location
3383 S Ferdon Blvd # B-5
Crestview, FL 32536-8484
Phone: (850) 682-3628
Fax: (850) 682-8434
Approximate (ZIP-level) locationGet directions
Mailing address
5041 N 12th Ave
Pensacola, FL 32504-8916
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2021-10-10
- Certified
- 2021-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.