Covenant Care Ohio, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5537 Issued in OH

Legal business name

COVENANT CARE OHIO, INC.

Doing business as

Wright Nursing and Rehabilitation Center

Practice address

829 Yellow Springs Fairfield Rd
Fairborn, OH 45324-9708

Phone

(937) 878-7046

Fax

(937) 878-4860

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Carol Sparks

Title

Director of Reimbursement

Phone

(949) 349-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wright Nursing and Rehabilitation Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Covenant Care California, LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1053453902

  Member Of

  NPD member

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1205966371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 YELLOW SPRINGS FAIRFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453249708",
            "telephone_number": "937-878-7046",
            "fax_number": "937-878-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 YELLOW SPRINGS FAIRFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453249708",
            "telephone_number": "937-878-7046",
            "fax_number": "937-878-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Cottingham
• Leeanne Escobedo Cottle, PT, DPT
• Lacey Cotton
• Mollie Countryman
• Buffie Courtney
• Emma Coyne, MD
• Sarah Craft, DO
• Carol Craig
• Jason Craig
• Hannah Cranor

• Skilled Nursing Facility in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.