Covenant Holistic Healthcare Services, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

COVENANT HOLISTIC HEALTHCARE SERVICES, INC.

Practice address

2388 River Hills LN
Bolingbrook, IL 60490-4937

Phone

(630) 310-2235

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Scott

Title

President

Phone

(630) 310-2235

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Covenant Holistic Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Covenant Holistic Healthcare Services Inc

  • Occupational Therapist
  • Bolingbrook, IL
  • NPI 1477811545
  NPD tax ID
• Covenant Holistic Healthcare Services Inc.

  • Occupational Therapist
  • Bolingbrook, IL
  • NPI 1568720639
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Itiona M Scott

  • Occupational Therapist
  • Bolingbrook, IL
  • NPI 1760580963

  IL, Occupational Therapist

  Medicare reassignment NPD
• Denise Toombs, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1811397904

  IL

  Medicare reassignment NPD
• Chakika L Williams, APRN

  • Family Nurse Practitioner
  • Orland Park, IL
  • NPI 1770047615

  IL

  Medicare reassignment NPD
• Mary Anne Thornton-Racho

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1649344698
  NPD (past)
• Corilise Marie Willis

  • Occupational Therapist
  • Chicago, IL
  • NPI 1619002763
  NPD (past)
• Mastura Zalwango, DNP

  • Nurse Practitioner
  • Skokie, IL
  • NPI 1235424565
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1487980561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 RIVER HILLS LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 RIVER HILLS LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904937",
            "telephone_number": "630-310-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOLISTIC HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-310-2235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cary Ann Cottingham Edgerton, LSW
• Covenant Holistic Healthcare Services Inc
• Covenant Holistic Healthcare Services Inc.
• Lapree A Crawford
• Perry William Crawford, PA-C
• Crescent Therapy LLC
• Shamar Crosley
• Marilyn Cavite Cruz-Rosal, PT,DPT

• All providers in Bolingbrook, IL
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.