COVILLES PERSONAL CARE HOME (NPI# 1194996355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194996355 |
| Entity Type | Organization |
| Organization Name | COVILLES PERSONAL CARE HOME |
| Practice Address |
5 S 2nd St Masontown PA 15461-1538 |
| Mailing Address |
5 South 2nd St. Masontown PA 15461 |
| Practice Telephone | 7245830744 |
| Practice Fax Number | 7245830350 |
| Mailing Telephone | 7245830744 |
| Mailing Fax Number | 7245830350 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MR. DOMINICK WILLIAM COVILLE II (ADMINISTRATOR) |
| Authorized Official Telephone | 7245839227 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
424710 | PA | Nursing & Custodial Care Facilities |
| Street Address |
5 S 2ND ST |
| City | MASONTOWN |
| State | PA |
| Zip Code | 15461-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184710238 | James Vance Weimer | Dentist | 115 N Water St, Masontown, PA 15461 | 2006-10-05 |
| 1043228539 | Arnold Oehrn Koon | Dentist | 546 North Main Street, Masontown, PA 15461 | 2006-08-03 |
| 1336664960 | Albert Gallatin Human Services | Meals | 22 South Main St, Masontown, PA 15461 | 2017-08-04 |
| 1487814430 | Cloverdale Personal Care Home | Custodial Care Facility | 206 Westwood Ave, Masontown, PA 15461-1646 | 2008-06-12 |
| 1225012073 | David P Alan | Optometrist | 203 N Redwood St, Masontown, PA 15461-1668 | 2005-12-05 |
| 1952732992 | Southwestern Eye Centers, LLC | Eyewear Supplier (Equipment, not the service) | 203 N Redwood St, Masontown, PA 15461-1668 | 2013-12-02 |
| 1780848291 | Pouvoir Company LLC | Durable Medical Equipment & Medical Supplies | 203 N Redwood St, Masontown, PA 15461-1668 | 2008-07-14 |
| 1144429002 | Carla Franks | Nurse Practitioner | Amedysis Hospice, 2183 Mcclellandtown Road, Masontown, PA 15461-1727 | 2007-07-12 |
| 1770580623 | James T Rhoades | Optometrist | 500 N Water St, Masontown, PA 15461-1778 | 2005-07-07 |
| 1366628950 | James T. Rhoades | Eyewear Supplier (Equipment, not the service) | 500 N Water St, Masontown, PA 15461-1778 | 2008-01-14 |
| Find all providers in zip 15461 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487814430 | Cloverdale Personal Care Home | Custodial Care Facility | 206 Westwood Ave, Masontown, PA 15461-1646 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1205273943 | Golden Age Care LLC | Custodial Care Facility | 716 Red Lion Rd, Philadelphia, PA 19115-1307 | 2013-06-03 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COVILLES PERSONAL CARE HOME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.