COVENANT HEALTH SYSTEM (NPI# 1104815414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104815414 |
| Entity Type | Organization |
| Organization Name | COVENANT HEALTH SYSTEM |
| Other Organization Name | STARCARE HOME HEALTH |
| Practice Address |
8140 N Mopac Expy Building 2 Suite 150 Austin TX 78759-8837 |
| Mailing Address |
4709 66th St Lubbock TX 79414-4841 |
| Practice Telephone | 5124596565 |
| Practice Fax Number | 5124593266 |
| Mailing Telephone | 8067258400 |
| Mailing Fax Number | 8067258463 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAM MATANI (CONTROLLER) |
| Authorized Official Telephone | 8067258691 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 007804 | TX | Agencies |
| Other Name | Type Code |
|---|---|
| STARCARE HOME HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542632 | Covenant Health System | Ambulance | 4014 22nd Pl Ste 11, Lubbock, TX 79410-1127 | 2019-01-24 |
| 1033272497 | Covenant Health System | Psychiatric Hospital | 4000 22nd Pl, Lubbock, TX 79410-1894 | 2006-12-18 |
| 1073502381 | Covenant Health System | Home Health | 5828 Sebastian Pl, Suite 107, San Antonio, TX 78249-2229 | 2005-10-19 |
| 1871582460 | Covenant Health System | Home Health | 2101 W 24th St, Plainview, TX 79072-2041 | 2005-10-17 |
| 1619966207 | Covenant Health System | Home Health | 1308 Teasley Ln, Denton, TX 76205-7946 | 2005-10-17 |
| 1184613770 | Covenant Health System | Home Health | 2103 W Michigan Ave, Midland, TX 79701-5927 | 2005-10-17 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 1619197696 | Covenant Health System | Ambulance | 3615 19th St, Lubbock, TX 79410-1203 | 2007-05-01 |
| 1871710202 | Covenant Health System | Clinic/Center | 3615 19th St, Lubbock, TX 79410-1203 | 2007-04-19 |
| 1245454263 | Covenant Health System | Clinic/Center | 3615 19th St, Lubbock, TX 79410-1203 | 2007-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVENANT HEALTH SYSTEM FOUNDATION | 3623 22nd Pl, Lubbock, TX 79410-1317 |
| Vermont Business Registrations | COVENANT HEALTH SYSTEMS, INC. | 420 Bedford Street, Lexington, MA 02173 |
| Street Address |
8140 N MOPAC EXPY BUILDING 2 SUITE 150 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-8837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336604479 | Austin M Hails | Anesthesiologist Assistant | 8140 N Mopac Expy, Austin, TX 78759-8837 | 2019-02-03 |
| 1487197521 | Joseph Robert Baranco | Nurse Anesthetist, Certified Registered | 8140 N Mopac Expy, # 3-210, Austin, TX 78759-8837 | 2016-11-21 |
| 1497201800 | Elizabeth Jung | Registered Nurse | 8140 N Mopac Expy, 3-210, Austin, TX 78759-8837 | 2016-08-27 |
| 1225402514 | Erin N. Willmann | Nurse Anesthetist, Certified Registered | 8140 N Mopac Expy, Austin, TX 78759-8837 | 2015-11-24 |
| 1023438405 | Cathy Wu Deng | Anesthesiology | 8140 N Mopac Expy, Austin, TX 78759-8837 | 2014-04-23 |
| 1871913525 | Grace Wilkowski Bryant | Anesthesiology | 8140 N Mopac Expy, Austin, TX 78759-8837 | 2014-04-21 |
| 1659794147 | Jane Kang, M.d. P.a. | Clinic/Center | 8140 N Mopac Expy, Westpark Building 2 Suite 200, Austin, TX 78759-8837 | 2014-02-04 |
| 1669749131 | Nurses Unlimited, Inc | Nursing Care | 8140 N Mopac Expy, Suite 150 Bldg 1, Austin, TX 78759 | 2011-11-28 |
| 1609160746 | Whitney Ree Helgren | Anesthesiology | 8140 N Mopac Expy, Suite 210, Austin, TX 78759-8837 | 2011-06-07 |
| 1255651428 | Abbey Herman | Anesthesiology | 8140 N Mopac Expy, Building 3, Suite 210, Austin, TX 78759-8837 | 2010-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| 1891301644 | Team Select Home Care of Texas, LLC | Home Health | 709 W 34th St Ste C, Austin, TX 78705-1238 | 2020-09-17 |
| 1598387763 | Faith and Care Services | Home Health | 7608 Cayenne Ln, Austin, TX 78741-7531 | 2020-05-11 |
| 1083243679 | La Stupenda | Home Health | 12403 Mellow Meadow Dr Apt 8108, Austin, TX 78750-1957 | 2020-04-06 |
| 1407403488 | Joyous Home Healthcare Services, LLC | Home Health | 11113 Furrow Hill Dr, Austin, TX 78754-6115 | 2019-08-23 |
| 1598318529 | Hightingale Homecare Services Inc | Home Health | 12608 Esplanade St, Austin, TX 78727-4411 | 2019-07-18 |
| 1649835737 | Joy In Home Senior Care | Home Health | 300 Ferguson Dr Ste 302, Austin, TX 78753-3030 | 2019-05-05 |
| 1356807861 | Austin Home Health Supplies LLC | Home Health | 8906 Wall St Ste 702, Austin, TX 78754-4546 | 2019-02-20 |
| 1528549334 | Elder Support, LLC | Home Health | 15317 Falconhead Grove Loop, Austin, TX 78738-6883 | 2018-08-29 |
| 1154818706 | First Divine Home Healthcare Agency Inc. | Home Health | 7901 Cameron Rd Ste 302, Austin, TX 78754-3831 | 2018-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.