Covenant Home Health Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVENANT HOME HEALTH CARE SERVICES, LLC.

Doing business as

Covenant Home Health Care Services

Practice address

3751 Island Ave Ste 104
Philadelphia, PA 19153-3237

Phone

(267) 244-3183

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Vincent Jallah

Title

Owner

Phone

(215) 452-9687

Specialties & licenses 1

Addresses

Other names 1

• Covenant Home Health Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398335

Legal name

COVENANT HOME HEALTH CARE SERVICES LLC

Doing business as

COVENANT HOME HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 25, 2022

Last certification

Apr 15, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 28, 2020 in PA

Enrollment address

3751 Island Ave
Ste 104
Philadelphia, PA 19153-3237

Listed as

Covenant Home Health Care Services, LLCCCN 398335

Ownership

Proprietary

Certified

Apr 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Covenant Home Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant Home Health Care Services, LLC.

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1134986870
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hawa Bengeh

  • Licensed Practical Nurse
  • Philadelphia, PA
  • NPI 1891143632
  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1972196921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 ISLAND AVE STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533237",
            "telephone_number": "267-244-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 ISLAND AVE STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533237",
            "telephone_number": "267-244-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "JALLAH",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-452-9687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Home Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Home Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Marie Covalesky, PA-C
• Julia Leigh Cove
• Seana Patrice Covello, MD
• Kenneth Wayne Covelman, PH.D.
• Covenant Home Health Care Services, LLC.
• Covenant House Health Services
• Covenant House Inc
• Covenant House Inc
• Covenant House Inc
• Covenant House Inc.

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.