Covenant Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

328094 Issued in MN

Legal business name

COVENANT HOME HEALTH CARE, LLC

Practice address

11375 Robinson Dr NW
Suite 104
Coon Rapids, MN 55433-2590

Phone

(763) 755-9009

Fax

(763) 862-8030

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Jean Klinefelter

Title

President/Administrator

Phone

(763) 755-9009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962400077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 ROBINSON DR NW",
            "address_2": "SUITE 104",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332590",
            "telephone_number": "763-755-9009",
            "fax_number": "763-862-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 ROBINSON DR NW",
            "address_2": "SUITE 104",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332590",
            "telephone_number": "763-755-9009",
            "fax_number": "763-862-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINEFELTER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "763-755-9009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "328094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Jeremy Lee Coudron, NP
• Kelly J Coughlin
• Alison J Coulter, MD
• Covenant Home Services, LLC
• Stacey Cowan
• Wade Rollin Crandall
• Taylor Elise Cravey, LICSW
• Brenda Janice Crespo, PSYD

• Home Health Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.