NPI 1083963979 · live from the CMS NPI Registry
Covenant Palliative And Hospice, LLC
Hospice Care, Community Based in Philadelphia, MS. National Provider Identifier 1083963979, active.
NPI record
| NPI | 1083963979 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1120 E Main St Ste 13, Philadelphia, MS 39350 |
| Practice phone | 601-656-7411 |
| Mailing address | Po Box 51266, Lafayette, LA 70505 |
| Enumerated | September 6, 2012 |
| Last updated | July 12, 2022 |
| Authorized official | Nicholas Gachassin, Executive Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 207 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.