Organization Name: | COVENANT HOMECARE |
NPI Number: | 1467449181 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN HUSKEY (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 3001 Lake Brook Blvd Suite 101 Knoxville |
State: | TN US |
Postal Code: | 379091100 |
Phone Number: | 8653740600 |
Fax Number: | 8653742061 |
NPI Enumeration Date: | 09/29/2005 |
NPI Last Update Date: | 12/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0000000364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |