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ASHLEY'S PLACE ADULT DAY CARE
NPI 1114276029
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salem, MO

Active since September 06, 2012
407 E 4TH ST, SALEM, MO 65560(573) 783-6256(573) 783-8148 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashley's Place Adult Day Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY'S PLACE ADULT DAY CARE (NPI 1114276029) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Salem, Missouri and active in the NPI registry since September 2012. The organization lists Warren Keith Reagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1114276029
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOVENANT CARE SERVICES, LLC
Location Address407 E 4TH STSalem, MO 65560-1547
Mailing AddressPo Box 110Fredericktown, MO 63645-0110 · (573) 783-6256 · Fax (573) 783-8148
Phone(573) 783-6256
Fax(573) 783-8148
Organization SubpartYes
Authorized OfficialWarren Keith ReaganOwner · (573) 783-6256
Enumeration DateSeptember 6, 2012
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1114276029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MO · 1008
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 1008 (MO)
407 E 4TH ST, Salem, MO 65560
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Other Names 1

Doing Business AsAshley's Place Adult Day Care

Other Identifiers 5

Medicaid1245370808MO
Medicaid1326188996MO
Medicaid1871823955MO
Medicaid1487749537MO
Medicaid1770623266MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Care Services, LLC's NPI number?

The NPI number for Covenant Care Services, LLC is 1114276029. It was assigned to this organization in the NPPES registry on September 6, 2012. The provider is doing business as Ashley's Place Adult Day Care.

Where is Covenant Care Services, LLC located?

Covenant Care Services, LLC is located at 407 E 4th St, Salem, MO 65560. The listed phone number is (573) 783-6256.

What is Covenant Care Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Covenant Care Services, LLC was last updated on September 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.