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COVENANT HEALTHCARE LLC NPI 1538506514


NPI Information

NPI: 1538506514
Provider Name: COVENANT HEALTHCARE, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1692 S SANTA FE AVE
62
SAN JACINTO, CA
ZIP 92583
Phone: (951) 330-6236
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COVENANT HEALTHCARE, LLC is an in home supportive care in San Jacinto, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. COVENANT HEALTHCARE, LLC NPI is 1538506514. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1692 S SANTA FE AVE
62
SAN JACINTO, CA
ZIP 92583-067
Phone: (951) 330-6236
Fax: (951) 654-8639

The provider's authorized official is Olumide Johnson .
The authorized official title is Coo and has the following contact phone number (951) 330-6236.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 5/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372500000XChore Provider00240076CALIFORNIANo
2372600000XAdult Companion00240076CALIFORNIANo
3374U00000XHome Health Aide00240076CALIFORNIANo
4376K00000XNurse's Aide00767135CALIFORNIANo
5253Z00000XIn Home Supportive Care00240076CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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