COVENANT HEALTHCARE, LLC
NPI 1538506514
In Home Supportive Care in San Jacinto, CA

NPI Status: Active since May 30, 2013

Contact Information

1692 S SANTA FE AVE
62
SAN JACINTO, CA
ZIP 92583
Phone: (951) 330-6236
Fax: (951) 654-8639

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  • Organization
  • In Home Supportive Care

About COVENANT HEALTHCARE, LLC

This page provides the complete NPI Profile along with additional information for Covenant Healthcare, Llc, a provider established in San Jacinto, California operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1538506514 assigned on May 2013. The practitioner's primary taxonomy code is 253Z00000X with license number 00240076 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Covenant Healthcare, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Olumide Johnson Cna (Coo)

NPI
1538506514
Provider Name
COVENANT HEALTHCARE, LLC
Entity Type
Organization
Location Address
1692 S SANTA FE AVE 62 SAN JACINTO, CA 92583
Location Phone
(951) 330-6236
Location Fax
(951) 654-8639
Mailing Address
1692 S SANTA FE AVE 62 SAN JACINTO, CA 92583
Mailing Phone
(951) 330-6236
Mailing Fax
(951) 654-8639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2013
Last Update Date
05-30-2013
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
00240076
License State
CA
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1372500000XNursing Service Related Providers

Chore Provider

00240076 (CA)
2372600000XNursing Service Related Providers

Adult Companion

00240076 (CA)
3374U00000XNursing Service Related Providers

Home Health Aide

00240076 (CA)
4376K00000XNursing Service Related Providers

Nurse's Aide

00767135 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. OLUMIDE JOHNSON CNA

Authorized Official Title
COO
Authorized Official Phone
(951) 330-6236

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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 1538506514, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
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 3 → 6 5 → 10 → 1 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 1 + 0 + 0 + 1 + 2 + 5 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538506514.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
1692 S SANTA FE AVE, #F-52
SAN JACINTO, CA 92583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538506514, enumerated as an "organization" on May 30, 2013.

The provider is located at 1692 S SANTA FE AVE 62 SAN JACINTO, CA 92583 and the phone number is (951) 330-6236.

In Home Supportive Care with taxonomy code 253Z00000X.