Organization Active NPI

Covenant Consumer Directed Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1447682992
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2532Z00000X Issued in MO
Legal business name
COVENANT CONSUMER DIRECTED SERVICES LLC
Practice address
6000 W Florissant Ave
Saint Louis, MO 63136-4930
Phone
(314) 389-2001
Fax
(314) 389-2005
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Ms. Gelisa Deon Harris
Title
Director
Phone
(314) 389-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2532Z00000X MO Primary

Addresses

Primary practice location

6000 W Florissant Ave
Saint Louis, MO 63136-4930

Mailing address

6000 W Florissant Ave
Saint Louis, MO 63136-4930
Phone (314) 389-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1447682992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364930",
            "telephone_number": "314-389-2001",
            "fax_number": "314-389-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364930",
            "telephone_number": "314-389-2001",
            "fax_number": "314-389-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CONSUMER DIRECTED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GELISA",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-389-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "2532Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.