Organization Active NPI

Covenant Home Services, LLC

  • Home Health Agency
  • Coon Rapids, MN
National Provider Identifier
1679586945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
332466 Issued in MN
Legal business name
COVENANT HOME SERVICES, LLC
Practice address
11375 Robinson Dr NW
Suite 104
Coon Rapids, MN 55433-2590
Phone
(763) 755-9009
Fax
(763) 862-8030
NPI assigned
Aug 15, 2006
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
Mrs. Gloria Jean Klinefelter
Title
President
Phone
(763) 755-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 332466 MN Primary

Addresses

Primary practice location

11375 Robinson Dr NW
Suite 104
Coon Rapids, MN 55433-2590

Mailing address

11375 Robinson Dr NW
Suite 104
Coon Rapids, MN 55433-2590
Phone (763) 755-9009

National Provider Directory

National Provider Directory

Locations

11375 Robinson Dr NW
Ste 104
Coon Rapids, MN 55433
Phone (763) 755-9009

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679586945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 ROBINSON DR NW",
            "address_2": "SUITE 104",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332590",
            "telephone_number": "763-755-9009",
            "fax_number": "763-862-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 ROBINSON DR NW",
            "address_2": "SUITE 104",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332590",
            "telephone_number": "763-755-9009",
            "fax_number": "763-862-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINEFELTER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-755-9009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

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.