Covenant Care Midwest, Inc.
Organization Active NPI Skilled Nursing Facility · Highland, IL
NPI 1831229004 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1831229004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0042853 (IL)
- Legal business name
- COVENANT CARE MIDWEST, INC.
- Practice address
- 1450 26TH St
Highland, IL 62249-2634 - Phone
- (618) 654-2368
- Fax
- (618) 654-4741
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Carol Sparks
- Title
- Director of Reimbursment
- Phone
- (949) 349-1200
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0042853 | IL | Yes |
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
- Highland Health Care Center
Other providers in Highland, IL
- City of Highland
- Susan L Collman
- Diane S Connelly
- Madeline Contreras
- Core Health Group PC
- Jessica Cresswell Clay
- CRPT, LLC
- Paula D'Agnese
- Danika Dale
- Chloe Dannhauer
All providers in Highland, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. 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.