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COVENANT HOME SERVICES NPI 1730301979


NPI Information

NPI: 1730301979
Provider Name: COVENANT HOME SERVICES

Doing Business As: COVENANTCARE AT HOME

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3755 E MAIN ST
SUITE 165
ST CHARLES, IL
ZIP 60174
Phone: (630) 845-0680
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COVENANT HOME SERVICES is a nursing care in St Charles, IL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COVENANT HOME SERVICES NPI is 1730301979. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenantcare At Home.

The provider's business location address is:

3755 E MAIN ST
SUITE 165
ST CHARLES, IL
ZIP 60174-463
Phone: (630) 845-0680
Fax: (630) 444-1688

The provider's authorized official is Joseph D Haughney .
The authorized official title is President and has the following contact phone number (630) 845-0680.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing Care4000133ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14521270OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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