Organization Active NPI

Covenant Healthcare Services & Staffing Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1154551976
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011105 Issued in IL
Legal business name
COVENANT HEALTHCARE SERVICES & STAFFING INC.
Practice address
840 E 87TH St
Suite 211a
Chicago, IL 60619-6248
Phone
(773) 487-9550
Fax
(773) 487-9551
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Mr. Taiwo A Adeniran, RN, BSN
Title
Administrator/Don
Phone
(773) 416-1983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011105 IL Primary

Addresses

Primary practice location

840 E 87TH St
Suite 211a
Chicago, IL 60619-6248

Mailing address

840 E 87TH St
Suite 211a
Chicago, IL 60619-6248
Phone (773) 487-9550

Other identifiers 1

IdentifierTypeStateIssuer
1011105OtherILMEDICARE LICENCE #

National Provider Directory

National Provider Directory

Locations

840 E 87th St
Ste 211A
Chicago, IL 60619
Phone (773) 487-9550

840 E 87th St
#211A
Chicago, IL 60619
Phone (773) 487-9550

18216 Harwood Ave
Ste 1N
Homewood, IL 60430
Phone (773) 233-2579

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1154551976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 87TH ST",
            "address_2": "SUITE 211A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196248",
            "telephone_number": "773-487-9550",
            "fax_number": "773-487-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E 87TH ST",
            "address_2": "SUITE 211A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196248",
            "telephone_number": "773-487-9550",
            "fax_number": "773-487-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTHCARE SERVICES & STAFFING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "ADENIRAN",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "773-416-1983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LICENCE #",
            "identifier": "1011105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.