NPIMap

Organization Active NPI

Covenant Homecare

  • Home Health Agency
  • Knoxville, TN
National Provider Identifier
1982690640
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000133 Issued in TN
Legal business name
COVENANT HOMECARE
Practice address
3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-1100
Phone
(865) 374-0600
Fax
(865) 374-2061
NPI assigned
Sep 27, 2005
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
John Huskey
Title
Chief Executive Officer
Phone
(865) 374-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0000000133 TN Primary

Addresses

Primary practice location

3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-1100

Mailing address

3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-1100
Phone (865) 374-0600

Other identifiers 6

IdentifierTypeStateIssuer
0152215OtherTNBLUE CROSS AND BLUE SHIEL
7773468OtherTNAETNA MORRISTOWN OFFICE
100020430MedicaidTN
5467111OtherTNAETNA
702002087OtherTNCARITEN
070036899OtherTNEEOICPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000610 TN Part A Provider - Home Health Agency 0749282010 Practice locations: Knoxville, TN; Morristown, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982690640. Details of each certification follow.

Home health agency certification: CCN 447139

Legal name
COVENANT HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 1978
Last certification
Jul 13, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 1995 in TN
Enrollment address
3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-3761
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Covenant Homecare

    dba Covenant HomeCare Hospice

    • Community Based Hospice Care Agency
    • Knoxville, TN
    • NPI 1467449181

    0749282010

    Same PAC ID
  • Covenant Homecare

    dba Covenant Palliative Care

    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Knoxville, TN
    • NPI 1649540170

    0749282010

    Same PAC ID

Care Compare: Home health agency

Medicare Care Compare
Listed as
Covenant HomecareCCN 447139 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Oct 4, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Covenant Homecare2 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.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Amy Delong Individual Corporate OfficerVice President/Controller Mar 4, 2024
Covenant Health Organization, Knoxville, TN Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1996 100%
Joseph Christopher Dolan Individual Corporate OfficerCovenant Health Cfo/Evp Jul 31, 2023
John Huskey Individual Corporate OfficerPresident/Cao Jan 1, 2003
W-2 Managing EmployeePresident/Cao Dec 1, 1997
James Vandersteeg Individual Corporate OfficerCovenant Health Ceo/President Apr 1, 2016

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 142

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 142

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1982690640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091100",
            "telephone_number": "865-374-0600",
            "fax_number": "865-374-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091100",
            "telephone_number": "865-374-0600",
            "fax_number": "865-374-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "HUSKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "865-374-0600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "0152215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MORRISTOWN OFFICE",
            "identifier": "7773468",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020430",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5467111",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "702002087",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEOICPA",
            "identifier": "070036899",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.