Active NPI
Covenant Care LLC
- In Home Supportive Care Agency
- Portland, ME
National Provider Identifier
1861226680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COVENANT CARE LLC
- Practice address
- 41 Hutchins Dr Building 3 1St and 2ND Floor Ste Ul-17
Portland, ME 04102 - Phone
- (651) 703-1047
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salat Anyah
- Title
- Owner
- Phone
- (651) 703-1047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
41 Hutchins Dr Building 3 1St and 2ND Floor Ste Ul-17
Portland, ME 04102
Mailing address
41 Hutchins Dr Building 3 1St and 2ND Floor Ste Ul-17
Portland, ME 04102
Phone (651) 703-1047
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1861226680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 HUTCHINS DR BUILDING 3 1ST AND 2ND FLOOR STE UL-17",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "651-703-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 HUTCHINS DR BUILDING 3 1ST AND 2ND FLOOR STE UL-17",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "651-703-1047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "ANYAH",
"authorized_official_first_name": "SALAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-703-1047"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.