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NPI Code Detail

MEDICARE: COVENANT ONE

MEDICARE: COVENANT ONE
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1174907943
Entity Type Code : Organization
Provider Name (Legal Business Name) : COVENANT ONE
Provider Business Mailing Address
First Line : 1023 HOLDERNESS LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1852
Country : US
Telephone Number : 513-371-1059
Fax Number : 513-662-0140
Provider Business Practice Location Address
First Line : 1023 HOLDERNESS LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1852
Country : US
Telephone Number : 513-371-1059
Fax Number : 513-662-0140
Authorized Official
Title or Position : ADMINISTRATOR
Name : JOSEPH VASCO DONKOR
Credential :
Telephone Number : 513-371-1059
Provider Enumeration Date : 07/12/2015
Last Update Date : 07/12/2015

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Directions to “COVENANT ONE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.