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COVENANT CARE SERVICES, LLC
NPI 1487749537
Licensed Practical Nurse in Fredericktown, MO

Active since October 04, 2006
120 S. MINE LAMOTTE, FREDERICKTOWN, MO 63645(573) 783-6256(573) 783-8148 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Covenant Care Services, Llc NPPES

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

COVENANT CARE SERVICES, LLC (NPI 1487749537) is a healthcare organization registered as a licensed practical nurse in Fredericktown, Missouri and active in the NPI registry since October 2006. The organization lists Warren Keith Reagan, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1487749537
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameCOVENANT CARE SERVICES, LLC
Location Address120 S. MINE LAMOTTEFredericktown, MO 63645
Mailing Address120 S. Mine LamotteFredericktown, MO 63645 · (573) 783-6256 · Fax (573) 783-8148
Phone(573) 783-6256
Fax(573) 783-8148
Organization SubpartNo
Authorized OfficialWarren Keith ReaganMember/manager · (573) 783-6256
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1487749537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedRegistered NurseTaxonomy 163W00000X
120 S. MINE LAMOTTE, Fredericktown, MO 63645
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1487749537. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Covenant Care Services, LLC located?

Covenant Care Services, LLC is located at 120 S. Mine Lamotte, Fredericktown, MO 63645. The listed phone number is (573) 783-6256.

What is Covenant Care Services, LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Covenant Care Services, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.