Covenant Home Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

159199 Issued in PA

Legal business name

COVENANT HOME CARE

Practice address

1223 Pottsville Pike
Shoemakersville, PA 19555-1719

Phone

(800) 726-8761

Fax

(570) 385-5287

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Lee Levengood, MBA, RN

Title

Executive Director

Phone

(800) 726-8761

Specialties & licenses 2

Addresses

Other identifiers 8

Member of 2

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

• Catholic Senior Housing and Health Care Services Inc

  dba Holy Family Manor

  • Skilled Nursing Facility
  • Bethlehem, PA
  • NPI 1255338976

  Member Of

  NPD member
• St. Joseph Regional Health Network

  dba St. Joseph Health Network At Maidencreek

  • Urgent Care Clinic/Center
  • Blandon, PA
  • NPI 1366757973

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1861582595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551719",
            "telephone_number": "800-726-8761",
            "fax_number": "570-385-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551719",
            "telephone_number": "800-726-8761",
            "fax_number": "570-385-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "LEVENGOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-726-8761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "712905",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "159199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NO.",
            "identifier": "1722",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER PROVIDER NUMBER",
            "identifier": "30892",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER NUMBER",
            "identifier": "C397129",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "397129",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773957",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER NO.",
            "identifier": "70354200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007739570008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007739570007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Elizabeth Adam, M.S.CF-SLP
• B&W Physical Therapy & Associates
• Covenant Home Care
• Katherine Foy
• Melanie Fretz
• Arleen A Johns, OT
• Wayne Lester Johns, PT
• Robert Martin Kushmider, D.D.S.

• Community Based Hospice Care Agency in Shoemakersville, PA
• Providers in Shoemakersville, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.