MEDICARE: COVENANT HOME HEALTH PLUS, LLC

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	1960665	OH

General Provider Information

NPI Number	:	1902113129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVENANT HOME HEALTH PLUS, LLC

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	:	614-465-9123
Fax Number	:	614-465-9154

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	:	614-465-9123
Fax Number	:

Authorized Official
Title or Position	:	CEO/GENERAL MANAGER
Name	:	DAHIR UGAS
Credential	:
Telephone Number	:	614-446-6388

Provider Enumeration Date	:	09/09/2010
Last Update Date	:	03/19/2025

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