COVENANT INDEPENDENT LIVING SERVICES, INC.


Address: 601 Nw 5th St, Brainerd, MN 56401-2963
Phone: 2188240615

COVENANT INDEPENDENT LIVING SERVICES, INC. (NPI# 1336223114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336223114
Entity Type Organization
Organization Name COVENANT INDEPENDENT LIVING SERVICES, INC.
Practice Address 601 Nw 5th St
Brainerd
MN 56401-2963
Practice Telephone 2188240615
Mailing Telephone 2188240615
Enumeration Date 2006-10-25
Last Update Date 2020-08-22
Authorized Official Name SHELLY DAWN JOHNSON (DIRECTOR)
Authorized Official Telephone 218-824-0615
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 601 NW 5TH ST
City BRAINERD
State MN
Zip Code 56401-2963

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164798427 Aimee Jean Olsen Registered Nurse 601 Nw 5th St, Suite 2, Brainerd, MN 56401-2963 2012-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396222832 Nicholas James Manning Physical Therapist 7350 Clearwater Rd N, Baxter, MN 56401 2018-07-27
1952819757 Hannah Marie Darabi Physical Therapist Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 2018-01-15
1154867406 Nancy Ann Schauer Social Worker 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 2017-01-10
1336530310 Audrey Jean Twit Pharmacist 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 2015-02-11
1245638584 The Renneke Chiropractic Clinic Physical Therapist 623 Madison St., Brainerd, MN 56401 2014-12-19
1124420179 Jenna Niggeler Acupuncturist 1001 Kingwood St Ste 119a, Brainerd, MN 56401 2014-09-22
1073933719 Nicholas Adam Lesmeister Orthopaedic Surgery 2014 South 6th Street, Brainerd, MN 56401 2014-04-21
1073864666 Jennifer L. Owens Marriage & Family Therapist 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 2012-09-24
1619297447 Christine Elaine Smalling Licensed Practical Nurse 6317 Estate Circle Drive, Brainerd, MN 56401 2010-06-03
1528241577 Dannia Lor Vang Pharmacist 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 2007-12-13
Find all providers in zip 56401

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830835 Dorothy Gomez Technician 622 1st Ave Ne, East Grand Forks, MN 56721-1905 2020-10-31
1972102457 A1 Care Shriners At Home Services Inc. Technician 4665 Victor Path Unit 2, Hugo, MN 55038-6037 2020-10-25
1770196065 Amina Webi Technician 2930 Blaisdell Ave Apt 333, Minneapolis, MN 55408-2326 2020-08-26
1194343269 Khadro Abdirahman Yusuf Technician 1500 Nicollet Ave Apt 609, Minneapolis, MN 55403-2740 2020-07-06
1811511215 Royalty Care, Inc Technician 46 28th Ave N Ste 46u, Saint Cloud, MN 56303-4241 2020-06-01
1245853506 Julie Ann Milnler Technician 17520 93rd Pl N, Maple Grove, MN 55311-4434 2020-05-21
1932729704 Owegio Wreh Technician 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 2020-04-22
1053946632 Lovingcare Nursing & Home Care Services, Inc. Technician 1152 Robert St S, West St Paul, MN 55118-2315 2020-03-04
1982238085 Jerald Haley Technician 924 6th Ave. S., Stillwater, MN 55082 2020-02-27
1336773522 Hiedi Philstrom Technician 56656 Stephanie Ln, Pine City, MN 55063-9095 2020-02-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRAINERD
Zip Code 56401

Improve Information

Please comment or provide details below to improve the information on COVENANT INDEPENDENT LIVING SERVICES, INC..

Dataset Information

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.

Trending Searches