Provider Demographics
NPI:1982201000
Name:COVENANT CARE
Entity Type:Organization
Organization Name:COVENANT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:CSCG
Authorized Official - Phone:385-254-1671
Mailing Address - Street 1:892 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4081
Mailing Address - Country:US
Mailing Address - Phone:385-254-1671
Mailing Address - Fax:
Practice Address - Street 1:169 W 2710 SOUTH CIR STE 202A
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7205
Practice Address - Country:US
Practice Address - Phone:435-313-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care