# COVENANT COMPASSIONATE CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780800193
- **Authorized official:** MS. JAMIE L. RUSSELL R.N. (OWNER)
- **Authorized official phone:** (816) 364-2600

## Contact information

- **Practice address:** 2400 FREDERICK AVE, 507, SAINT JOSEPH, MO 64506-2758
- **Practice address phone:** (816) 364-2600
- **Practice address fax:** (816) 364-2687
- **Mailing address:** 2400 FREDERICK AVE, 507, SAINT JOSEPH, MO 64506-2758
- **Mailing address phone:** (816) 364-2600
- **Mailing address fax:** (816) 364-2687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 764-1 | MO | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 02/05/2008