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General NPI Number Information
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NPI Number | 1871826693
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Entity Type | Organization
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Legal Business Name | COVENANT HOME HEALTH CARE L.L.C
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 4998 W BROAD ST STE 102
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City | COLUMBUS
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State | OH
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Zip | 43228-1647
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Country | US
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Telephone | 614-645-9123
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Fax | 614-465-9154
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Provider Business Mailing Address
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Address Line | 5109 W BROAD ST STE 205
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City | COLUMBUS
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State | OH
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Zip | 43228-1648
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Country | US
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Telephone | 614-645-9123
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | DAHIR UGAS
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Credential |
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Telephone | 614-465-9123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1881796
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License Number State | OH
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