Active NPI
Covenant Healthcare Services & Staffing Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1154551976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011105
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011105 | Other | IL | MEDICARE LICENCE # |
National Provider Directory
National Provider DirectoryLocations
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.