COVENANT PALLIATIVE AND HOSPICE, LLC
NPI 1083963979
Hospice Care, Community Based in Philadelphia, MS

Active since September 06, 2012CLIA 25D2041520 · Waiver
1120 E MAIN ST STE 13, PHILADELPHIA, MS 39350(601) 656-7411(601) 656-7931 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, May 12, 2022, Oct 1, 2015 (3 updates tracked since 2015).

About Covenant Palliative And Hospice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT PALLIATIVE AND HOSPICE, LLC (NPI 1083963979) is a healthcare organization registered as a hospice care, community based in Philadelphia, Mississippi and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Nicholas Gachassin, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1083963979
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOVENANT PALLIATIVE AND HOSPICE, LLC
Location Address1120 E MAIN ST STE 13Philadelphia, MS 39350-2300
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764
Fax(601) 656-7931
Organization SubpartNo
Authorized OfficialNicholas GachassinExecutive Vice President · (337) 233-1307
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJuly 12, 20223 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1083963979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in MS · 207
1120 E MAIN ST STE 13, Philadelphia, MS 39350

Other Identifiers 1

Medicaid02280076MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2041520

Covenant Palliative And Hospice LLC Dba Halcyon Hospice - Philadelphia · Philadelphia, MS
Active · expires May 22, 2028
CLIA Number25D2041520
Laboratory TypeHospice
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorRandi L. Shafer
Laboratory Phone(601) 656-7411
Laboratory LocationCovenant Palliative And Hospice LLC Dba Halcyon Hospice - Philadelphia1120 East Main Street, Suite 13, Philadelphia, MS 39350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Halcyon Hospice- Philadelphia (CMS certification number 251677), from CMS Care Compare.

Halcyon Hospice- Philadelphia

Hospice · Philadelphia, MS
OwnershipOther
CMS Certification Number251677
CMS RegionRegion 4
Medicare-Certified SinceSeptember 27, 2012
Average Daily Census32patients per day on average
Location1120 East Main Street, Suite 13Philadelphia, MS 39350 · Neshoba County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home79%
Assisted living facility0%
Nursing facility19%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
25%
Patients with dementia
24%
Patients with circulatory or heart disease
24%
Patients with respiratory disease
0%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
113 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
113 patient stays
100%
Hospice and Palliative Care Pain Screening
113 patient stays
100%
Hospice and Palliative Care Pain Assessment
58 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
113 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
64 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
22 patient stays
100%
Hospice and Palliative Care Composite Process Measure
113 patient stays
100%
Hospice Visits in the Last Days of Life
111 patient stays
71.2%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
7/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 26
36.1%
Early live discharges
National percentile 33
3.7%
Late live discharges
National percentile 79
50%
Burdensome transitions, Type 1
National percentile 99
29.6%
Burdensome transitions, Type 2
National percentile 99
13%
Per-beneficiary spending
National percentile 62
$18,649
Nurse care minutes per routine home care days
National percentile 60
13.1 minutes
Skilled nursing minutes on weekends
National percentile 4
2.9%
Visits near death
National percentile 42
92.1%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Palliative And Hospice, LLC's NPI number?

The NPI number for Covenant Palliative And Hospice, LLC is 1083963979. It was assigned to this organization in the NPPES registry on September 6, 2012.

Where is Covenant Palliative And Hospice, LLC located?

Covenant Palliative And Hospice, LLC is located at 1120 E Main St Ste 13, Philadelphia, MS 39350. The listed phone number is (601) 656-7411.

What is Covenant Palliative And Hospice, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Covenant Palliative And Hospice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2041520) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Covenant Palliative And Hospice, LLC a Medicare-certified hospice?

Yes. Halcyon Hospice- Philadelphia is a Medicare-certified hospice (CMS certification number 251677), certified since September 27, 2012.

What insurance does Covenant Palliative And Hospice, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Covenant Palliative And Hospice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant Palliative And Hospice, LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.