Organization
COVENANT CONNECTIONS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY JOYCE INGRAM RN (CEO)
(313) 592-1517
Entity
Organization
Contact information
Practice address
18440 W MCNICHOLS RD, DETROIT, MI 48219-4161
(313) 592-1517
(313) 592-1530
Mailing address
18440 W MCNICHOLS RD, DETROIT, MI 48219-4161
(313) 592-1517
(313) 592-1530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376687897
OMNICARE
MI
01
—
23-7776
MEDICARE PTAN
MI
01
—
IE911
BLUE CROSS/BLUE SHEILD
MI
Enumeration date
02/17/2007
Last updated
03/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us