Covenant Care Of Jacksonville Llc

  • 1396811550 NPI Number
  • |
  • Actived: 17 years ago
  • |
Covenant Care Of Jacksonville Llc is a health care provider based in Jacksonville, IL. The NPI Number is 1396811550 and it has been active since 17 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, Covenant Care Of Jacksonville Llc is an excellent option. We are here to help you get the care you need.

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Overview of Covenant Care Of Jacksonville Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 11/28/2006
  • Last updated: 07/19/2007

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 0047852
  • License State: IL

Provider Mailing Address

  • Address: 1200 Mountain Creek Road
    Suite 350
    Chattanooga, TN 37405
  • Phone: 423-870-3153
  • Fax: 423-870-3196

Provider Practice Location

  • Address: 1500 West Walnut Street
    Jacksonville, IL 62650
  • Phone: 217-245-4183
  • Fax: 217-243-2915

Authorized Official

  • Name: Gary L Potts
  • Position/Title: Manager
  • Telephone Number: 423-870-3153

Scope of Practice

  • Taxonomy Code: 313M00000X
  • Specialty: Nursing Facility/Intermediate Care Facility
  • License Number: 1764855
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0036301
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Covenant Care Of Jacksonville Llc?
  • A: The npi number for Covenant Care Of Jacksonville Llc is 1396811550.
  • Q: What are Covenant Care Of Jacksonville Llc's specialties?
  • A: Covenant Care Of Jacksonville Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Covenant Care Of Jacksonville Llc business practice location?
  • A: Covenant Care Of Jacksonville Llc business practice location is 1500 West Walnut Street, Jacksonville, IL 62650.
  • Q: How to contact Covenant Care Of Jacksonville Llc?
  • A: You can contact Covenant Care Of Jacksonville Llc via 217-245-4183.
  • Q: What is the authorized official for Covenant Care Of Jacksonville Llc?
  • A: The authorized office name is Gary L Potts with position/title is Manager and you can reach the authorized official via phone number 4238703153.
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