COVENANT HOME HEALTH, LLC (NPI# 1235537085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235537085 |
| Entity Type | Organization |
| Organization Name | COVENANT HOME HEALTH, LLC |
| Practice Address |
707 S Roland Rd Unit 4 Roland OK 74954-5337 |
| Mailing Address |
Po Box 1282 Roland OK 74954-1282 |
| Practice Telephone | 9184273591 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MICHAEL DEAN STOUT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4798833565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
707 S ROLAND RD UNIT 4 |
| City | ROLAND |
| State | OK |
| Zip Code | 74954-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| Find all providers in zip 74954 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710026299 | Fort Smith Hma Home Health, LLC | Home Health | 307b E Ray Fine Blvd, Roland, OK 74954-5160 | 2007-02-05 |
| 1063747632 | Fort Smith Hma Home Health | Home Health | 303 E Ray Fine Blvd, Roland, OK 74954-5362 | 2009-10-15 |
| 1649437351 | Healing Waters Home Health LLC | Home Health | 205 E Ray Fine Blvd, Suite 2, Roland, OK 74954-5181 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166445 | Legacy Home Health, LLC | Home Health | 1631 N Main St Ste B, Muskogee, OK 74401-4451 | 2020-08-28 |
| 1508488727 | Healing Hearts Home Health and Hospice LLC | Home Health | 1400 N Porter Ave Ste 110, Norman, OK 73071-6604 | 2020-05-11 |
| 1144841891 | Full Motion Physical Therapy | Home Health | 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 | 2020-05-05 |
| 1891315461 | Ugaf, LLC | Home Health | 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 | 2020-04-23 |
| 1437782406 | Uhs of Texoma Inc | Home Health | 372 Bryan Dr Ste 110, Durant, OK 74701-3466 | 2020-02-19 |
| 1073145645 | Felicia Antoinette Thompson | Home Health | 2220 N Norfolk Ave, Tulsa, OK 74106-3917 | 2020-02-11 |
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1346886371 | Andrew Lee Garrean | Home Health | 4148 E 51st St, Tulsa, OK 74135-3609 | 2019-11-25 |
| 1891345021 | New Path Quality Home Healthcare LLC | Home Health | 240 E Apache St Ste 4, Tulsa, OK 74106-3702 | 2019-09-19 |
| 1760032171 | Caring Hearts Home Health, LLC | Home Health | 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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| 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.