COVENANT INDEPENDENT LIVING SERVICES, INC.
NPI 1336223114
Technician - Personal Care Attendant in Brainerd, MN

Q: What is Covenant Independent Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Active since October 25, 2006

601 NW 5TH ST, BRAINERD, MN 56401(218) 824-0615 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Covenant Independent Living Services, Inc. NPPES

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

COVENANT INDEPENDENT LIVING SERVICES, INC. (NPI 1336223114) is a healthcare organization registered as a personal care attendant in Brainerd, Minnesota and active in the NPI registry since October 2006. The organization lists Shelly Dawn Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1336223114

Entity TypeOrganization

Primary Taxonomy3747P1801X

Legal Business NameCOVENANT INDEPENDENT LIVING SERVICES, INC.

Location Address601 NW 5TH STBrainerd, MN 56401-2963

Mailing Address601 Nw 5th StBrainerd, MN 56401-2963 · (218) 824-0615

Phone(218) 824-0615

Organization SubpartNo

Authorized OfficialShelly Dawn JohnsonDirector · (218) 824-0615

Enumeration DateOctober 25, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1336223114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

601 NW 5TH ST, Brainerd, MN 56401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AIMEE JEAN OLSEN RN

Registered Nurse

601 NW 5TH ST, SUITE 2
BRAINERD, MN 56401

Crow Wing County (218) 824-0615

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 Independent Living Services, Inc.'s NPI number?

The NPI number for Covenant Independent Living Services, Inc. is 1336223114. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Covenant Independent Living Services, Inc. located?

Covenant Independent Living Services, Inc. is located at 601 NW 5th St, Brainerd, MN 56401. The listed phone number is (218) 824-0615.

What is Covenant Independent Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Covenant Independent Living Services, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.