COVENANT HOME HEALTH CARE, LLC (NPI# 1962400077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962400077 |
| Entity Type | Organization |
| Organization Name | COVENANT HOME HEALTH CARE, LLC |
| Practice Address |
11375 Robinson Dr Nw Suite 104 Coon Rapids MN 55433-2590 |
| Practice Telephone | 7637559009 |
| Practice Fax Number | 7638628030 |
| Mailing Telephone | 7637559009 |
| Mailing Fax Number | 7638628030 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GLORIA JEAN KLINEFELTER (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 7637559009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 328094 | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1922273309 | Covenant Home Health Care, LLC | Home Health | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2008-04-25 |
| 1720253107 | Covenant Home Health Care, LLC | Home Health | 5041 N 12th Ave, Pensacola, FL 32504-8916 | 2008-04-25 |
| Street Address |
11375 ROBINSON DR NW SUITE 104 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679586945 | Covenant Home Services, LLC | Home Health | 11375 Robinson Dr Nw, Suite 104, Coon Rapids, MN 55433-2590 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1225663040 | One Family Home Care LLC | Home Health | 10900 Xeon St Nw, Coon Rapids, MN 55433-7802 | 2020-03-12 |
| 1053944165 | Qualicare Homes Corporation | Home Health | 950 121st Ln Nw, Coon Rapids, MN 55448-2139 | 2020-02-17 |
| 1144851049 | Sincere Home Care, LLC | Home Health | 299 Coon Rapids Blvd Nw Ste 212, Coon Rapids, MN 55433-5870 | 2020-01-29 |
| 1952947269 | Grace Assisted Living LLC | Home Health | 2566 112th Ave Nw, Coon Rapids, MN 55433-3562 | 2019-11-21 |
| 1407491475 | Fountain Gate Health LLC | Home Health | 10714 Ilex St Nw, Coon Rapids, MN 55448-4941 | 2019-11-13 |
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1417401225 | We Care Home Health Services LLC | Home Health | 2016 123rd Ave Nw, Coon Rapids, MN 55448-7089 | 2016-08-09 |
| 1598132086 | Elizjoseph Healthcare LLC | Home Health | 12032 Tulip St Nw, Coon Rapids, MN 55433-6710 | 2015-08-31 |
| 1104209949 | Empathy Home Care Inc | Home Health | 3040 113th Ave Nw, Coon Rapids, MN 55433-3490 | 2015-06-29 |
| 1891040291 | Beyond Borders Therapy Services | Home Health | 10101 Quince St Nw, Coon Rapids, MN 55433-5146 | 2012-07-21 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.