Covenant Care of Jacksonville LLC
NPI 1396811550 · Nursing Facility/Intermediate Care Facility · Jacksonville, IL
Covenant Care of Jacksonville LLC is a Nursing Facility/Intermediate Care Facility organization in Jacksonville, IL (NPI 1396811550).
Provider details
- NPI number
- 1396811550
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Potts, Manager(423) 870-3153
- License
- 0047852 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Modern Care Convalescent and Nursing Home
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2007-07-19
Frequently asked questions
- What is Covenant Care of Jacksonville LLC's NPI number?
- Covenant Care of Jacksonville LLC's National Provider Identifier (NPI) is 1396811550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Covenant Care of Jacksonville LLC?
- Covenant Care of Jacksonville LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Covenant Care of Jacksonville LLC located?
- Covenant Care of Jacksonville LLC's practice location on file with NPPES is 1500 West Walnut Street, Jacksonville, IL 62650-1134.
- What is Covenant Care of Jacksonville LLC's phone number?
- The practice phone number listed in the NPPES registry for Covenant Care of Jacksonville LLC is (217) 245-4183.
- Who is the authorized official for Covenant Care of Jacksonville LLC?
- The authorized official listed on Covenant Care of Jacksonville LLC's NPPES record is Gary Potts, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Covenant Care of Jacksonville LLC's NPI active?
- Yes — Covenant Care of Jacksonville LLC's NPI (1396811550) is active in the NPPES registry as of the last update on 2007-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.