COVENANT CARE SERVICES, LLC (NPI# 1487749537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487749537 |
| Entity Type | Organization |
| Organization Name | COVENANT CARE SERVICES, LLC |
| Practice Address |
120 S. Mine Lamotte Fredericktown MO 63645 |
| Practice Telephone | 5737836256 |
| Practice Fax Number | 5737838148 |
| Mailing Telephone | 5737836256 |
| Mailing Fax Number | 5737838148 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WARREN KEITH REAGAN (MEMBER/MANAGER) |
| Authorized Official Telephone | 5737836256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| X | 164W00000X | Licensed Practical Nurse | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114276029 | Covenant Care Services, LLC | Custodial Care Facility | 407 E 4th St, Salem, MO 65560-1547 | 2012-09-06 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1245370808 | Covenant Care Services, LLC | Day Training/Habilitation Specialist | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-06 |
| 1770623266 | Covenant Care Services, LLC | Registered Nurse | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-07 |
| 1326188996 | Covenant Care Services, LLC | Chore Provider | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-06 |
| Street Address |
120 S. MINE LAMOTTE |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| 1750457586 | Madison Medical Center Stockhoff Memorial Nursing Home | Home Health | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-24 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053663393 | Michelle Celaschi | Registered Nurse | 1250 Morey Rd, Fredericktown, PA 15333-2240 | 2012-10-10 |
| 1578811261 | Deborah Avalon | Registered Nurse | 18296 N Liberty Rd, Fredericktown, OH 43019-9742 | 2012-08-28 |
| 1962736397 | Jennnifer T Butler | Registered Nurse | 6990 State Route 95, Fredericktown, OH 43019-9556 | 2009-10-02 |
| 1316132301 | Heather Rochelle Evans | Registered Nurse | 16960 Connector Rd, Fredericktown, OH 43019-9711 | 2007-09-12 |
| 1770707341 | Shannon Marie Boeshart | Registered Nurse | 13905 Armentrout Rd, Fredericktown, OH 43019-9717 | 2007-04-12 |
| 1770623266 | Covenant Care Services, LLC | Registered Nurse | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| 1447859921 | Denetra Norris | Registered Nurse | 8508 Everett St, Raytown, MO 64138-3133 | 2020-10-26 |
| 1174122287 | Natasha Marie Byrd | Registered Nurse | 1710 Fenpark Dr # 4, Fenton, MO 63026-2920 | 2020-10-20 |
| 1710594858 | Jennifer Pohlmann | Registered Nurse | 324 Emerson Road, High Ridge, MO 63049-2542 | 2020-09-23 |
| 1184238891 | Alicia Johnson | Registered Nurse | 3609 S Marshall Dr, Independence, MO 64055-3861 | 2020-09-01 |
| 1205449048 | Chizoba Mbanugo Copes | Registered Nurse | 4801 E Linwood Blvd # M1-574, Kansas City, MO 64128-2226 | 2020-08-30 |
| 1912519273 | Lisa Crowley | Registered Nurse | 4421 S Hemlock Ave, Springfield, MO 65810-1086 | 2020-08-18 |
| 1669083382 | Andrea Nicole Petersen | Registered Nurse | 2410 S Limit Ave, Sedalia, MO 65301-6910 | 2020-08-14 |
| 1245841634 | Leslie Kim Williams | Registered Nurse | 2320 Sw River Spring Rd, Lees Summit, MO 64082-4087 | 2020-08-11 |
| 1114537396 | Paige Allen | Registered Nurse | 109 E 85th St, Kansas City, MO 64114-2540 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
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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.