Covered LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVERED LLC

Practice address

1006 Washington Ave
Racine, WI 53403-1762

Phone

(800) 609-0071

Fax

(800) 609-0071

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Donisha Nesbitt, BS

Title

Executive Director

Phone

(414) 308-3688

Specialties & licenses 1

Addresses

Other names 1

• CoveredCare Doing business as

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1649705609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031762",
            "telephone_number": "800-609-0071",
            "fax_number": "800-609-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031762",
            "telephone_number": "800-609-0071",
            "fax_number": "800-609-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "DONISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-308-3688",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoveredCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Cooper, RN
• Kevin Cooper, DO
• Suzanne L. Cooper, N.P.
• Katelynn Michelle Counts
• Emilia Linda Covelli
• Cozy Aurora Adult Family Home LLC
• Dokota Crane
• Crawford LLC
• Christopher Crawford
• Patricia A Cresco

• All providers in Racine, WI
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.