Covenant Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVENANT HOME CARE LLC

Practice address

1133 W Long Lake Rd
Suite 150
Bloomfield Hills, MI 48302-1983

Phone

(248) 593-6177

Fax

(248) 593-6002

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Lynn Reeves, RN

Title

Admin

Phone

(248) 593-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Covenant Home Care LLC Former legal business name

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1912958364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WEST LONG LAKE ROAD",
            "address_2": "STE 150",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-593-6177",
            "fax_number": "248-593-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W LONG LAKE RD",
            "address_2": "SUITE 150",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021983",
            "telephone_number": "248-593-6177",
            "fax_number": "248-593-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-593-6177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4988105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.