COVENANT CARE SERVICES LLC NPI 1770623266

NPI Information

  • NPI: 1770623266
  • Provider Name: COVENANT CARE SERVICES, LLC
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Address: 120 S MINE LA MOTTE ST
    FREDERICKTOWN, MO
    ZIP 63645
  • Phone: (573) 783-6256

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NPI Details

COVENANT CARE SERVICES, LLC is a licensed practical nurse in Fredericktown, MO. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. COVENANT CARE SERVICES, LLC NPI is 1770623266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 S MINE LA MOTTE ST
FREDERICKTOWN, MO
ZIP 63645-229
Phone: (573) 783-6256
Fax: (573) 783-8148

The provider's authorized official is Warren K Reagan .
The authorized official title is Member-manager and has the following contact phone number (573) 783-6256.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747A0650XTechnicianAttendant Care ProviderNo
23747P1801XTechnicianPersonal Care AttendantNo
3374U00000XHome Health AideNo
4376K00000XNurse's AideNo
5163W00000XRegistered NurseNo
6164W00000XLicensed Practical NurseYes

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: 11/21/2025

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