NPIMap

Organization Active NPI

Visiting Nurse Association of Saginaw

Doing business as Covenant Visiting Nurse Association

  • Home Health Agency
  • Saginaw, MI
National Provider Identifier
1073595245
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING NURSE ASSOCIATION OF SAGINAW
Doing business as
Covenant Visiting Nurse Association
Practice address
515 N Michigan Ave
Saginaw, MI 48602-4316
Phone
(989) 799-6020
Fax
(989) 583-1745
NPI assigned
Nov 15, 2005
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Diane M Glasgow, OTR
Title
Director
Phone
(989) 799-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

515 N Michigan Ave
Saginaw, MI 48602-4316

Mailing address

515 N Michigan Ave
Saginaw, MI 48602-4316
Phone (989) 799-6020

Other identifiers 1

IdentifierTypeStateIssuer
3425506MedicaidMI

Other names 1

  • Covenant Visiting Nurse Association Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000735 MI Part A Provider - Home Health Agency 4981869344 Practice locations: Saginaw, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073595245. Details of each certification follow.

Home health agency certification: CCN 237431

Legal name
VISITING NURSE ASSOCIATION OF SAGINAW
Doing business as
COVENANT AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 1997
Last certification
Feb 26, 2010
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 5, 2012 in MI
Enrollment address
515 N Michigan Ave
Saginaw, MI 48602-4316

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Covenant at HomeCCN 237431 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Aug 8, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Association of Saginaw3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

515 N Michigan Ave
Saginaw, MI 48602
Phone (989) 583-2701

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diane Marie Glasgow Individual Corporate Director Apr 19, 2014
W-2 Managing Employee Apr 19, 2014
Cory Niederstadt Individual W-2 Managing Employee Mar 1, 2022
Adam Tompa Individual Corporate DirectorChairman Jan 1, 2022
Patrice Lanczak Individual Corporate Director Jul 9, 2019
Michael Fiore Individual Corporate Director Jul 1, 2022
Kevin S Albosta Individual Corporate DirectorBoard Member Jan 1, 2015
Matthew David Deibel Individual Corporate Director Mar 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 95

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 95

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1073595245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316",
            "telephone_number": "989-799-6020",
            "fax_number": "989-583-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316",
            "telephone_number": "989-799-6020",
            "fax_number": "989-583-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF SAGINAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-799-6020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Visiting Nurse Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.