Covenant Compassionate Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

764-1 Issued in MO

Legal business name

COVENANT COMPASSIONATE CARE, INC.

Practice address

2400 Frederick Ave
507
Saint Joseph, MO 64506-2758

Phone

(816) 364-2600

Fax

(816) 364-2687

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jamie L. Russell, R.N.

Title

Owner

Phone

(816) 364-2600

Specialties & licenses 1

Addresses

Tax ID family

Covenant Compassionate Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant Compassionate Care Inc.

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1831377738
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1780800193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK AVE",
            "address_2": "507",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062758",
            "telephone_number": "816-364-2600",
            "fax_number": "816-364-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FREDERICK AVE",
            "address_2": "507",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062758",
            "telephone_number": "816-364-2600",
            "fax_number": "816-364-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COMPASSIONATE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-364-2600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "764-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia H Costa, MD
• Drew Michael Cottrill, PA-C
• Kassidy Ann Courter
• Covenant Care LLC
• Covenant Compassionate Care Inc.
• Covenant in Home Care LLC (Covenant Care)
• Covenant Optimized Living LLC
• Frederick Vincent Covillo, D.O.
• Dorothy Louise Cox, F.N.P.
• Andrea Haydn Coy

• Home Health Agency in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.