Provider Demographics
NPI:1013146026
Name:COVENANT PLUS HEALTH CARE, INC
Entity Type:Organization
Organization Name:COVENANT PLUS HEALTH CARE, INC
Other - Org Name:ALLY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-363-2559
Mailing Address - Street 1:899 PRESIDENTIAL DR STE 117
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2963
Mailing Address - Country:US
Mailing Address - Phone:214-363-2559
Mailing Address - Fax:866-540-1396
Practice Address - Street 1:899 PRESIDENTIAL DR STE 117
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2963
Practice Address - Country:US
Practice Address - Phone:214-363-2559
Practice Address - Fax:866-540-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-11
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012994251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747538Medicare Oscar/Certification