Provider Demographics
NPI:1619858271
Name:THE COVENANT HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:THE COVENANT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:URSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-583-1964
Mailing Address - Street 1:911 WASHINGTON AVE STE 827
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1348
Mailing Address - Country:US
Mailing Address - Phone:557-214-7341
Mailing Address - Fax:
Practice Address - Street 1:911 WASHINGTON AVE STE 827
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1348
Practice Address - Country:US
Practice Address - Phone:557-214-7341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health