Organization Name: | COVENANT HOME CARE MINISTRIES |
NPI Number: | 1326469107 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA LYNN REEVES (ADMINISTRATOR) |
Mailing Address: | 1133 W Long Lake Rd Suite 150 Bloomfield Hills |
State: | MI US |
Postal Code: | 483021983 |
Phone Number: | 2485936170 |
Fax Number: | 2485936002 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 749550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |