Covenant Connections Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVENANT CONNECTIONS HOME CARE, LLC

Practice address

18440 W McNichols Rd
Detroit, MI 48219-4161

Phone

(313) 592-1517

Fax

(313) 592-1530

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Betty Joyce Ingram, RN

Title

Ceo

Phone

(313) 592-1517

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1376687897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18440 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194161",
            "telephone_number": "313-592-1517",
            "fax_number": "313-592-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18440 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194161",
            "telephone_number": "313-592-1517",
            "fax_number": "313-592-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CONNECTIONS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-592-1517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE",
            "identifier": "1376687897",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "IE911",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "23-7776",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covenant Community Care, Inc.
• Covenant Community Care, Inc.
• Covenant Community Care, Inc.
• Covenant Community Care, Inc.
• Covenant Community Care, Inc.
• Covenant Connections, Inc.
• Coventry Homestead, LLC
• Kathleen Covert, RN
• Sabrina Marie Covington
• Tiffany Covington

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.