Provider Demographics
NPI:1174907943
Name:COVENANT ONE
Entity type:Organization
Organization Name:COVENANT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:VASCO
Authorized Official - Last Name:DONKOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-371-1059
Mailing Address - Street 1:1023 HOLDERNESS LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1852
Mailing Address - Country:US
Mailing Address - Phone:513-371-1059
Mailing Address - Fax:513-662-0140
Practice Address - Street 1:1023 HOLDERNESS LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1852
Practice Address - Country:US
Practice Address - Phone:513-371-1059
Practice Address - Fax:513-662-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-12
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health