COVENANT HOME HEALTH CARE 5, LLC (NPI# 1659923472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659923472 |
| Entity Type | Organization |
| Organization Name | COVENANT HOME HEALTH CARE 5, LLC |
| Practice Address |
2546 22nd Ave N St Petersburg FL 33713-4311 |
| Mailing Address |
5041 N 12th Ave Pensacola FL 32504-8916 |
| Practice Telephone | 7278003261 |
| Mailing Telephone | 8504332155 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | THOMAS FRANKLIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8504332155 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT HEALTH AND COMMUNITY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2546 22ND AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| 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 |
|---|---|---|---|---|
| 1174135727 | K2d3 Enterprise LLC | Home Health | 5959 Central Ave Ste 403, St Petersburg, FL 33710-8502 | 2020-08-17 |
| 1073121471 | Aloe At Home LLC | Home Health | 835 Newton Ave S, St Petersburg, FL 33701-5325 | 2020-07-21 |
| 1144842162 | Jilliann Rae Lunn | Home Health | 3520 56th Ave N, St Petersburg, FL 33714-1849 | 2020-05-13 |
| 1376175208 | David Phandara | Home Health | 3031 14th St N, St Petersburg, FL 33704-1914 | 2020-02-09 |
| 1407415839 | Helping Hands Priority Home Care Services, Inc | Home Health | 295 15th St N, St Petersburg, FL 33705-2013 | 2019-06-10 |
| 1730646605 | Gulf Breeze Home Health, Inc. | Home Health | 111 2nd Ave N Ste 355, St Petersburg, FL 33701-3315 | 2019-02-26 |
| 1518424910 | Florida Homecare Specialists Minority Corp | Home Health | 1211 1st Ave N. Mezzanine Ste 215, St Petersburg, FL 33705-1567 | 2019-02-22 |
| 1639633175 | Harmony Garden, LLC | Home Health | 4601 6th Ave S, St Petersburg, FL 33711-1801 | 2019-01-29 |
| 1831662022 | Provident Home Care, Inc. | Home Health | 4934 17th Ave N, St Petersburg, FL 33710-5202 | 2019-01-10 |
| 1326519232 | Southern Oasis Homecare LLC | Home Health | 2604 Central Ave, St Petersburg, FL 33712-1152 | 2018-12-17 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.