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COVENANT CARE SERVICES, LLC
NPI 1770623266
Licensed Practical Nurse in Fredericktown, MO

Active since February 07, 2007
120 S MINE LA MOTTE ST, 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: July 26, 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 1770623266) is a healthcare organization registered as a licensed practical nurse in Fredericktown, Missouri and active in the NPI registry since February 2007. The organization lists Warren K Reagan, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1770623266
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameCOVENANT CARE SERVICES, LLC
Location Address120 S MINE LA MOTTE STFredericktown, MO 63645-1229
Mailing Address120 S Mine La Motte StFredericktown, MO 63645-1229 · (573) 783-6256 · Fax (573) 783-8148
Phone(573) 783-6256
Fax(573) 783-8148
Organization SubpartNo
Authorized OfficialWarren K ReaganMember-manager · (573) 783-6256
Enumeration DateFebruary 7, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1770623266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedNurse's AideTaxonomy 376K00000X

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

Other Providers at the Same Location NPPES 2

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

COVENANT CARE SERVICES, LLC
Technician (Attendant Care Provider)
120 S MINE LA MOTTE ST
FREDERICKTOWN, MO 63645
Madison County (573) 783-6256
COVENANT CARE SERVICES, LLC
Adult Companion
120 S MINE LA MOTTE ST
FREDERICKTOWN, MO 63645
Madison County (573) 783-6256

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 1770623266. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Covenant Care Services, LLC located?

Covenant Care Services, LLC is located at 120 S Mine La Motte St, 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 with the weekly NPPES data releases published by CMS.