Covenant Care Ohio, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1842N Issued in OH

Legal business name

COVENANT CARE OHIO, INC.

Doing business as

Villa Springfield

Practice address

701 Villa Rd
Springfield, OH 45503-1330

Phone

(937) 399-5551

Fax

(937) 399-0737

NPI assigned

Mar 6, 2007

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Sparks

Title

Director of Reimbursement

Phone

(949) 349-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Springfield Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Covenant Care California, LLC

  dba Royal Care Skilled Nursing Center

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1053453902

  Member Of

  NPD member

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1922138098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 VILLA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031330",
            "telephone_number": "937-399-5551",
            "fax_number": "937-399-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 VILLA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031330",
            "telephone_number": "937-399-5551",
            "fax_number": "937-399-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1842N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaedra Couch
• Elias James Coulas, PHARMD
• Alena Cousins
• Stephanie Coutsouridis
• Covenant Access & Mobility Systems, Inc.
• Covenant Contract Service
• Albert Henry Cowen, LSW
• Emma Cox
• Jessy Cox
• Sydney Cox

• Skilled Nursing Facility in Springfield, OH
• Providers in Springfield, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.