| Name: | Covenant Hospice, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 04 Aug 1981 (43 years ago) |
| Entity Number: | 000-917-433 |
| Register Number: | 000917433 |
| Historical Names: |
Hospice of Northwest Florida, Inc.
|
| County: | Baldwin |
| Place of Formation: | Florida |
| Principal Address: | 5041 N 12th AvenuePensacola, FL 32504 |
| Registered Office Mailing Address: | 5041 N 12TH AVEPENSACOLA, FL 32504 |
| Registered Office Street Address: | 1040 STANTON ROAD SUITE DDAPHNE, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023562865 | 2016-08-10 | 2021-10-10 | 5041 N. 12TH AVE., PENSACOLA, FL, 32504, US | 6801 AIRPORT BLVD., MAIN TOWER, 11TH FLOOR NORTH, MOBILE, AL, 36608, US | |||||||||||||||||||||
|
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| Phone | +1 850-433-2155 |
Authorized person
| Name | ROLAND CLENEAY |
| Role | CFO |
| Phone | 8504332155 |
Taxonomy
| Taxonomy Code | 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 315D00000X - Inpatient Hospice |
| License Number | 5025095 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COOK, CATHERINE CATHERINE | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2001-04-05 | Name Change | Hospice of Northwest Florida, Inc. | Covenant Hospice, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
