COVENANT CARE SERVICES, LLC — NPI 1245370808 (Licensed & Credentialed Technician, Attendant Care Provider in FREDERICKTOWN, MO)

CMS-1500 Box 24J / 33a • NPI

1245370808

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3747A0650X

Licensed & Credentialed Technician, Attendant Care Provider

Box 32 Service Location & ZIP+4

120 S MINE LA MOTTE ST, FREDERICKTOWN, MO, 63645-1229

✓ 9-Digit EDI 837 ZIP+4 (63645-1229)

Practice Phone & Referral Fax

(573) 783-6256

Fax: (573) 783-8148

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245370808 (COVENANT CARE SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245370808` (NPI-2 Organization / Facility)
Provider / Legal Name	COVENANT CARE SERVICES, LLC
Plain-English Specialty	Licensed & Credentialed Technician, Attendant Care Provider NUCC Code: `3747A0650X` (Technician, Attendant Care Provider)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	120 S MINE LA MOTTE ST, FREDERICKTOWN, MO, 63645-1229
Practice Telephone / Fax	Tel: (573) 783-6256 \| Fax: (573) 783-8148
Administrative Mailing Address	120 S MINE LA MOTTE ST, FREDERICKTOWN, MO, 63645-1229
Enumeration & Last Sync	Enumerated: 2007-02-06 \| CMS Record Updated: 2025-09-11
Authorized Official	WARREN REAGAN (Member-Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

120 S MINE LA MOTTE ST, FREDERICKTOWN, MO, 63645-1229

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Plain-English Taxonomy & CMS Crosswalk (3747A0650X)

What Does Taxonomy Code 3747A0650X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747A0650X translates to:
"Licensed & Credentialed Technician, Attendant Care Provider"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Attendant Care Provider for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COVENANT CARE SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`373H00000X` — Day Training/Habilitation Specialist Plain English: Licensed & Credentialed Day Training/Habilitation Specialist	State: N/A \| License: `Verified` \| Primary: Secondary
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`376K00000X` — Nurse's Aide Plain English: Licensed & Credentialed Nurse's Aide	State: N/A \| License: `Verified` \| Primary: Secondary
`3747A0650X` — Technician, Attendant Care Provider Plain English: Licensed & Credentialed Technician, Attendant Care Provider	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COVENANT CARE SERVICES, LLC (NPI #1245370808)