Organization
COVENANT HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMELO YARA ORTEGA (ADMINISTRATOR)
(847) 675-5431
Entity
Organization
Contact information
Practice address
8401 N CRAWFORD AVE., SUITE 101, SKOKIE, IL 60076
(847) 675-5431
(847) 675-5431
Mailing address
8401 N. CRAWFORD AVE., SUITE 101, SKOKIE, IL 60076
(847) 675-5431
(847) 675-5447
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010807
IL
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1870496
STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
06/03/2008
Last updated
11/30/2010
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