Covenant Home Health Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COVENANT HOME HEALTH CARE AGENCY LLC

Practice address

1731 NW 6TH St Ste B1
Gainesville, FL 32609-8515

Phone

(240) 581-2279

Fax

(407) 602-0015

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

Omoniyi Maude Annie, RN

Title

Administrator

Phone

(352) 405-7077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant Care Agency Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Annie Maude Omoniyi, RN

  • Homemaker
  • Newberry, FL
  • NPI 1356050082
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1750093241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 NW 6TH ST STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098515",
            "telephone_number": "240-581-2279",
            "fax_number": "407-602-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 NW 6TH ST STE B1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098515",
            "telephone_number": "240-581-2279",
            "fax_number": "407-602-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ANNIE",
        "authorized_official_first_name": "OMONIYI",
        "authorized_official_middle_name": "MAUDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-405-7077",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117486900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annie.omoniyi@covenantcareagency.com",
            "affiliation": "N",
            "endpointDescription": "Covenant care agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1731 NW 6th St Ste B1",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326098515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Covenant Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Alachua Board of County Commissioners
• Lindsay Anne Courson
• Rachel Courtney
• Daniel Aaron Cousin, M.D.
• Covenant Home Health Care 3, LLC
• Covered With Care
• Frederick Covert
• Matthew Harrison Covey, MD
• Sarah Covey, MD, MPH
• Hongchuan Coville, M.D.

• In Home Supportive Care Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.