Organization Active NPI

Covenant Home Care

  • Community Based Hospice Care Agency
  • Shoemakersville, PA
National Provider Identifier
1265514392
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
159199 Issued in PA
Legal business name
COVENANT HOME CARE
Practice address
1223 Pottsville Pike
Shoemakersville, PA 19555-1719
Phone
(800) 726-8761
Fax
(570) 385-5287
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Ms. Sandra Lee Levengood, MBA, RN
Title
Executive Director
Phone
(800) 726-8761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 159199 PA Primary

Addresses

Primary practice location

1223 Pottsville Pike
Shoemakersville, PA 19555-1719

Mailing address

1223 Pottsville Pike
Shoemakersville, PA 19555-1719
Phone (800) 726-8761

Other identifiers 7

IdentifierTypeStateIssuer
391591OtherPAKEYSTONE HOSPICE PROV.NO.
1838OtherPABLUE SHIELD HOSPICE PROV.
86900OtherPAGEISINGER HOSPICE PROV.NO
1007739570004MedicaidPA
391591OtherPABLUE CROSS HOSPICE PROV.
100773957MedicaidPA
1007739570005MedicaidPA

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1265514392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551719",
            "telephone_number": "800-726-8761",
            "fax_number": "570-385-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551719",
            "telephone_number": "800-726-8761",
            "fax_number": "570-385-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "LEVENGOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-726-8761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "159199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HOSPICE PROV.NO.",
            "identifier": "391591",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HOSPICE PROV.",
            "identifier": "1838",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HOSPICE PROV.NO",
            "identifier": "86900",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007739570004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPICE PROV.",
            "identifier": "391591",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773957",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007739570005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoemakersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.