Covenant in Home Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COVENANT IN HOME SERVICE

Practice address

224 Abington Dr
Saint Peters, MO 63376-8180

Phone

(636) 978-0933

Fax

(636) 203-5461

NPI assigned

Oct 12, 2012

Last updated

Oct 26, 2012By 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

Ronald Rivers

Title

Director

Phone

(314) 223-2077

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Covenant in Home Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant in Home Services LLC

  • In Home Supportive Care Agency
  • Saint Peters, MO
  • NPI 1205076445
  NPD tax ID

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1427300573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ABINGTON DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633768180",
            "telephone_number": "636-978-0933",
            "fax_number": "636-203-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ABINGTON DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633768180",
            "telephone_number": "636-978-0933",
            "fax_number": "636-203-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT IN HOME SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-223-2077"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205076445",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Cosby, MSW, LCSW
• Pamela Coslick, O.D.
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #382)
• Costco Wholesale Corporation (Costco Optical #382)
• Covenant in Home Services LLC
• Robert D Crabtree, DMD
• Koby Ward-Ervin Craft, DC
• Lisa Craig, ATC, LAT , LMT
• Stefan B Craig, M.D.

• Community/Behavioral Health Agency in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.