National Provider Identifier Database

COVENANT CARE SERVICES LLC
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

COVENANT CARE SERVICES, LLC
120 S MINE LA MOTTE ST
FREDERICKTOWN, MO63645-1229
Phone: 573-783-6256
Fax: 573-783-8148
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Attendant Care Provider 3747A0650X
Home Health Aide 374U00000X
Nurse's Aide 376K00000X
Personal Care Attendant 3747P1801X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for COVENANT CARE SERVICES, LLC

NPI Number 1770623266
Legal business name
LBN
COVENANT CARE SERVICES, LLC
Authorized official WARREN REAGAN - (MEMBER-MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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