Organization Active NPI

Covenant Home Healthcare

  • Home Health Agency
  • Broken Arrow, OK
National Provider Identifier
1720645856
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COVENANT HOME HEALTHCARE
Practice address
1115 S Aspen Ave Ste F
Broken Arrow, OK 74012-4859
Phone
(918) 249-0221
Fax
(918) 895-0050
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Emmanuel ColeNPI 1558067835
Title
Administrator
Phone
(918) 249-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1115 S Aspen Ave Ste F
Broken Arrow, OK 74012-4859

Mailing address

1115 S Aspen Ave Ste F
Broken Arrow, OK 74012-4859
Phone (918) 249-0221

Other identifiers 1

IdentifierTypeStateIssuer
HC8094OtherOKOKLAHOMA DEPARTMENT OF HEALTH

Other names 1

  • Covenant Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1115 S Aspen Ave
Ste F
Broken Arrow, OK 74012
Phone (918) 249-0221

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1720645856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124859",
            "telephone_number": "918-249-0221",
            "fax_number": "918-895-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S ASPEN AVE STE F",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124859",
            "telephone_number": "918-249-0221",
            "fax_number": "918-895-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-249-0221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA DEPARTMENT OF HEALTH",
            "identifier": "HC8094",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.