Ashley'S Place Adult Day Care

LBN: Covenant Care Services, Llc
Ashley'S Place Adult Day Care is an health care organization with primary practice located at 407 E 4Th St , Salem MO 65560-1547. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Covenant Care Services, Llc can be contacted via phone (573) 783-6256, or through Reagan, Warren Keith via phone (573) 783-6256.

Contact Information

Primary practice address
407 E 4Th St Salem MO 65560-1547
Phone: (573) 783-6256
Fax: (573) 783-8148
Website:
Map and Directions
Authorized official contact:
Name: Reagan, Warren Keith
Phone: (573) 783-6256

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 1008 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 1008 Missouri

Profile Details

NPI number 1114276029
LBN Legal business name Covenant Care Services, Llc
DBA Doing business as Ashley'S Place Adult Day Care
Authorized official Reagan, Warren Keith
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2012
Last updated Sep 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114276029 NPPES
Missouri MEDICAID 1487749537
Missouri MEDICAID 1245370808
Missouri MEDICAID 1326188996
Missouri MEDICAID 1770623266
Missouri MEDICAID 1871823955

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