COVENANT HEALTH SYSTEM
NPI 1104815414
Home Health in Austin, TX

NPI Status: Active since October 19, 2005

Contact Information

8140 N MOPAC EXPY
BUILDING 2 SUITE 150
AUSTIN, TX
ZIP 78759
Phone: (512) 459-6565
Fax: (512) 459-3266

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  • Organization
  • Home Health
  • CLIA Number: 45D0685293
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-26-2025

About COVENANT HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Covenant Health System, a provider established in Austin, Texas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1104815414 assigned on October 2005. The practitioner's primary taxonomy code is 251E00000X with license number 007804 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1104815414
Provider Legal Name
COVENANT HEALTH SYSTEM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
8140 N MOPAC EXPY BUILDING 2 SUITE 150 AUSTIN, TX 78759
Location Phone
(512) 459-6565
Location Fax
(512) 459-3266
Mailing Address
1801 LIND AVE SW # 9016 RENTON, WA 98057
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2005
Last Update Date
07-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
007804
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
159249502MEDICAID (05)TX 
159249501MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0685293
Facility Type
Physician Office
Certificate Effective Date
December 27, 2023
Certificate Expiration Date
December 26, 2025
Laboratory Director
PLYUSH MITTAL MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Covenant Health System in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for COVENANT HEALTH SYSTEM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104815414, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 0 + 4 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104815414.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dermatology
8140 N MOPAC EXPY, 3-130
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 3-210
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 3-210
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 3-210
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 3-210
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 3-210
AUSTIN, TX 78759
Psychologist (Clinical)
8140 N MOPAC EXPY, BUILDING 2, SUITE 200
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, BUILDING 3, SUITE 210
AUSTIN, TX 78759
Psychologist (Clinical)
8140 N MOPAC EXPY, BUILDING 2, SUITE 200
AUSTIN, TX 78759
Clinic/Center (Adult Mental Health)
8140 N MOPAC EXPY, WESTPARK BUILDING 2 SUITE 200
AUSTIN, TX 78759
Psychologist (Clinical)
8140 N MOPAC EXPY, STE 135
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, SUITE 210
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY, BUILDING 3, SUITE 210
AUSTIN, TX 78759
Nurse Anesthetist, Certified Registered
8140 N MOPAC EXPY, # 3-210
AUSTIN, TX 78759
Nurse Anesthetist, Certified Registered
8140 N MOPAC EXPY
AUSTIN, TX 78759
Nurse Anesthetist, Certified Registered
8140 N MOPAC EXPY, 3-210
AUSTIN, TX 78759
Anesthesiologist Assistant
8140 N MOPAC EXPY
AUSTIN, TX 78759
Anesthesiology
8140 N MOPAC EXPY
AUSTIN, TX 78759
Home Health
8140 N MOPAC EXPY, SUITE 150 BLDG 1
AUSTIN, TX 78759
Nurse Anesthetist, Certified Registered
8140 N MOPAC EXPY
AUSTIN, TX 78759

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104815414, enumerated as an "organization" on October 19, 2005.

The provider is located at 8140 N MOPAC EXPY BUILDING 2 SUITE 150 AUSTIN, TX 78759 and the phone number is (512) 459-6565.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.