Covenant Independent Living Services, Inc. in Brainerd - Personal Care Attendant
Covenant Independent Living Services, Inc. - NPI 1336223114
Covenant Independent Living Services, Inc. is a Personal Care Attendant in Brainerd, Minnesota. Covenant Independent Living Services, Inc. practices all healthcare services and medical treatments related to Personal Care Attendant. The NPI Number for Covenant Independent Living Services, Inc. is 1336223114. The last update date is 2022-07-21.
Covenant Independent Living Services, Inc.'s current location address is 601 Nw 5th St, Brainerd, Minnesota. You can contact this provider via phone number 2188240615. The mailing address for Covenant Independent Living Services, Inc. is 601 Nw 5th St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Covenant Independent Living Services, Inc. |
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Address | 601 Nw 5th St, Brainerd, Minnesota |
Phone Number | 2188240615 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR |
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Authorized Official Name | Johnson Dawn Shelly |
Telephone Number | 2188240615 |
NPI Number Detail
NPI Number | 1336223114 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 601 Nw 5th St |
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City | Brainerd |
State | Minnesota (MN) |
Post Code | 564012963 |
Phone Number | 2188240615 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Personal Care Attendant |
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Taxonomy | 3747P1801X |
Definition: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the in |
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What is the unique identifier code issued to Covenant Independent Living Services, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Covenant Independent Living Services, Inc. has been assigned the NPI (National Provider Identifier) 1336223114. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Covenant Independent Living Services, Inc.'s facilities are situated?
The facilities of Covenant Independent Living Services, Inc. are physically located at the following address: 601 Nw 5Th St, Brainerd, MN, 564012963.
What is the Covenant Independent Living Services, Inc.'s specialty and taxonomy code?
The Covenant Independent Living Services, Inc.'s specialty is Personal Care Attendant, and the corresponding taxonomy code is 3747P1801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336223114 to Covenant Independent Living Services, Inc.?
The Covenant Independent Living Services, Inc. received its 1336223114 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information regarding Covenant Independent Living Services, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Covenant Independent Living Services, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
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