Covenant Home Health Care Services, Inc
Organization Active NPI Home Health Agency · Scott Depot, WV
NPI 1770592123 · NPPES record last updated Feb 6, 2012
Key facts
- NPI
- 1770592123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- WV404123 (WV)
- Legal business name
- COVENANT HOME HEALTH CARE SERVICES, INC
- Practice address
- 109 Poplar Fork Rd
Suite B
Scott Depot, WV 25560-9766 - Phone
- (304) 757-9333
- Fax
- (304) 757-9336
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Pamela Diane Mitchell
- Title
- President
- Phone
- (304) 757-9333
Corporate family (same tax ID) 2
Practitioners 2
-
Angela Benson, PT
National Provider Directory
- Tax ID family
- Stonerise Home Health
Locations
604 Carlton Davidson Ln
#M
Coal Grove, OH 45638
Phone (740) 532-7401
604 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 532-7401
507 State St
Proctorville, OH 45669
Phone (740) 886-2442
2965 County Road 144
Ste 2
South Point, OH 45680
Phone (740) 894-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | WV404123 | WV | Yes |
Addresses
Primary practice location
109 Poplar Fork Rd
Suite B
Scott Depot, WV 25560-9766
Mailing address
109 Poplar Fork Rd
Suite B
Scott Depot, WV 25560-9766
Phone (304) 757-9333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2784803 | Medicaid | OH | |
| 3810006368 | Medicaid | WV | |
| WV404123 | Other | WV | STATE PROVIDER ID NUMBER |
Other providers in Scott Depot, WV
- Communication Station, Inc.
- Hannah Aspy Conley
- Kevin Cool
- Rachael Copley
- Country Roads Housecalls, LLC
- Laurie Covington
- Kimberly Craig
- Jacob Crain
- Lindsay Crowley
- Ellie Culicerto
All providers in Scott Depot, WV · Home Health Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.