MEDICARE: COVENANT HOME HEALTH CARE L.L.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1881796	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36-8329	OTHER	OH	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871826693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVENANT HOME HEALTH CARE L.L.C

Provider Business Mailing Address
First Line	:	5109 W BROAD ST STE 205
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1648
Country	:	US
Telephone Number	:	614-645-9123
Fax Number	:

Provider Business Practice Location Address
First Line	:	4998 W BROAD ST STE 102
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1647
Country	:	US
Telephone Number	:	614-645-9123
Fax Number	:	614-465-9154

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	DAHIR UGAS
Credential	:
Telephone Number	:	614-465-9123

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	03/19/2025

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Directions to “COVENANT HOME HEALTH CARE L.L.C ” Practice Location

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