Covenant Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVENANT HOME HEALTH, LLC

Practice address

707 S Roland Rd
Unit 4
Roland, OK 74954-5337

Phone

(918) 427-3591

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Dean Stout

Title

Executive Director

Phone

(479) 883-3565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1235537085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1282",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749541282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ROLAND RD",
            "address_2": "UNIT 4",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545337",
            "telephone_number": "918-427-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-883-3565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Isbell Pharmacy LLC (Johnny's Hometown Pharmacy)
• Bayleigh Click, RN
• Melissa Cole
• Community Wellness Clinic, LLC
• Jacey Conner
• Howard Paul Cross Jr., CRNA
• David W Furr LLC (Roland Available Medical Clinic)
• Tiffany Davis
• Billy Edward Deleplank, M.ED
• Jennifer Duggin

• Home Health Agency in Roland, OK
• Providers in Roland, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.