Organization Active NPI

Covenant Care Midwest, Inc

  • Skilled Nursing Facility
  • Omaha, NE
National Provider Identifier
1447385588
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
264002 Issued in NE
Legal business name
COVENANT CARE MIDWEST, INC
Doing business as
Nebraska Skilled Nursing and Rehabilitation
Practice address
7410 Mercy Rd
Omaha, NE 68124-2317
Phone
(402) 397-1220
Fax
(402) 397-4102
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Sparks
Title
Director of Reimbursment
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 264002 NE Primary

Addresses

Primary practice location

7410 Mercy Rd
Omaha, NE 68124-2317

Mailing address

7410 Mercy Rd
Omaha, NE 68124-2317
Phone (402) 397-1220

Other names 1

  • Nebraska Skilled Nursing and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Member of 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447385588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242317",
            "telephone_number": "402-397-1220",
            "fax_number": "402-397-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242317",
            "telephone_number": "402-397-1220",
            "fax_number": "402-397-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE MIDWEST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nebraska Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.