COVENANT CARE CARSON, LLC SOS Verified
2898 US HIGHWAY 50 E, CARSON CITY, NV 89701
NPI Number
1750536322
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: COVENANT CARE CARSON, LLC
Entity Number: E0039012009-9
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2009-01-20
Status Changed: 2010-03-05
Name Match: 95%
Registered Agent
Name: GKL REGISTERED AGENTS OF NV, INC.
Type: Commercial Registered Agent
Address: 3064 SILVER SAGE DR STE 150, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Christine Sims | 120 Vantis Dr., Suite 200, Aliso Viejo, CA | Active |
| Other | Andrew Torok | 120 Vantis Dr., Suite 200, Aliso Viejo, CA | Active |
| Manager | Kevin Carney | 120 Vantis Dr. Suite 200, Aliso Viejo, CA | Active |
| Manager | Robert Levin | 120 Vantis Dr. Ste 200, Aliso Viejo, CA | Active |
| Manager | Mary Evans | 120 Vantis Dr. Suite 200, Aliso Viejo, NV | Active |
Campaign Contributions
$13,560Total Contributed
1Candidates Supported
Officer / Individual Matches
LEVIN, ROBERTPossible Match
Matched via officer: Robert Levin (Manager)
$2,500 across 5 contributions
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| ROSEN, JACKY | U.S. Senate | DEM | $37,500 | 75 |
EVANS, MARYPossible Match
Matched via officer: Mary Evans (Manager)
$11,060 across 13 contributions
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2020 | $0 | |
| 2021 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 44 | $0 | 0.0% | $0 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 17 | $0 | 0.0% | $0 |
| 90688 | Vaccine or immunization | 15 | $0 | 0.0% | $0 |
| Q3014 | Telehealth originating site facility fee | 141 | $0 | 0.0% | $0 |