Covenant in Home Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COVENANT IN HOME CARE LLC

Doing business as

Covenant Care

Practice address

2400 Frederick Ave
Suite 201
Saint Joseph, MO 64506-2758

Phone

(816) 364-2600

Fax

(816) 901-3053

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 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

Kinsley Kathryn Pittman

Title

Member

Phone

(816) 364-2600

Specialties & licenses 1

Addresses

Other names 1

• Covenant Care Doing business as

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1558622886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK AVE",
            "address_2": "SUITE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062758",
            "telephone_number": "816-364-2600",
            "fax_number": "816-901-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK AVE",
            "address_2": "SUITE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062758",
            "telephone_number": "816-364-2600",
            "fax_number": "816-901-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "KINSLEY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-364-2600"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Michael Cottrill, PA-C
• Kassidy Ann Courter
• Covenant Care LLC
• Covenant Compassionate Care Inc.
• Covenant Compassionate Care, Inc.
• Covenant Optimized Living LLC
• Frederick Vincent Covillo, D.O.
• Dorothy Louise Cox, F.N.P.
• Andrea Haydn Coy
• Carissa Janel Crabb, L.C.S.W.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.