NPIMap

Organization Active NPI

Covenant Care Midwest, Inc.

Doing business as Highland Health Care Center

  • Skilled Nursing Facility
  • Highland, IL
National Provider Identifier
1831229004
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0042853 Issued in IL
Legal business name
COVENANT CARE MIDWEST, INC.
Doing business as
Highland Health Care Center
Practice address
1450 26TH St
Highland, IL 62249-2634
Phone
(618) 654-2368
Fax
(618) 654-4741
NPI assigned
Mar 6, 2007
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Carol Sparks
Title
Director of Reimbursment
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0042853 IL Primary

Addresses

Primary practice location

1450 26TH St
Highland, IL 62249-2634

Mailing address

1450 26TH St
Highland, IL 62249-2634
Phone (618) 654-2368

Other names 1

  • Highland Health Care Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1831229004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 26TH ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492634",
            "telephone_number": "618-654-2368",
            "fax_number": "618-654-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 26TH ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492634",
            "telephone_number": "618-654-2368",
            "fax_number": "618-654-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE MIDWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0042853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.