Organization Active NPI

Covenant Protectors LLC

  • In Home Supportive Care Agency
  • Henderson, NV
National Provider Identifier
1689060378
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5524PCS-8 Issued in NV
Legal business name
COVENANT PROTECTORS LLC
Practice address
2920 N Green Valley Pkwy
Suite 412
Henderson, NV 89014-0406
Phone
(702) 360-7475
Fax
(702) 655-7475
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Gina Jolliff
Title
Owner/ Administrator
Phone
(702) 360-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5524PCS-8 NV Primary

Addresses

Primary practice location

2920 N Green Valley Pkwy
Suite 412
Henderson, NV 89014-0406

Mailing address

2920 N Green Valley Pkwy
Suite 412
Henderson, NV 89014-0406
Phone (702) 360-7475

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

2920 N Green Valley Pkwy
Ste 412
Henderson, NV 89014
Phone (702) 360-7475

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1689060378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "SUITE 412",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-360-7475",
            "fax_number": "702-655-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY",
            "address_2": "SUITE 412",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140406",
            "telephone_number": "702-360-7475",
            "fax_number": "702-655-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PROTECTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "JOLLIFF",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "702-360-7475"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5524PCS-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.