Covenant Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010807 Issued in IL

Legal business name

COVENANT HOME HEALTH CARE INC.

Practice address

8401 N Crawford Ave.
Suite 101
Skokie, IL 60076

Phone

(847) 675-5431

Fax

(847) 675-5431

NPI assigned

Jun 3, 2008

Last updated

Nov 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carmelo Yara Ortega

Title

Administrator

Phone

(847) 675-5431

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811156003. Details of each certification follow.

• CCN 148079 Home health agency · Active · Details

Home health agency certification: CCN 148079

Legal name

COVENANT HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 21, 2009

Last certification

Jul 9, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 20, 2007 in IL

Enrollment address

9547 Crawford Ave
Evanston, IL 60203-1012

Listed as

Covenant Home Health Care, IncCCN 148079 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Sep 21, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Elizabeth M. Cruz, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093869141

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1811156003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 N. CRAWFORD AVE.",
            "address_2": "SUITE 101",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-675-5431",
            "fax_number": "847-675-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N CRAWFORD AVE.",
            "address_2": "SUITE 101",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-675-5431",
            "fax_number": "847-675-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_middle_name": "YARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-675-5431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "1870496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Cotey, LCPC
• Judith A Cothran, MD
• Catherine Ann Counard, MD
• Council for Jewish Elderly (Lieberman Center for Health and Rehabiliation)
• Jessica Covelli, LCSW
• Covid Testing Solutions
• Cozy Couch Counseling
• Giorgia Cozzo
• Nona Marie Craig, M.D.
• Kaye Crandall, RPH

• Home Health Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.