CLW Adult Day and Health Services

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CLW ADULT DAY AND HEALTH SERVICES

Doing business as

The Covenant House

Practice address

106 South Johnson
Mt Pleasant, TX 75455

Phone

(903) 575-0070

Fax

(903) 575-0879

NPI assigned

Apr 22, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teresa Gail Wilson

Title

Owner

Phone

(903) 575-0070

Specialties & licenses 1

Addresses

Other names 1

• The Covenant House Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1003080904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTH JOHNSON",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-575-0070",
            "fax_number": "903-575-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SOUTH JOHNSON",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-575-0070",
            "fax_number": "903-575-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLW ADULT DAY AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-575-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Covenant House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Chad Chiles, PMHNP
• Chris Burling, M.D., P.a. (Mt. Pleasant Family Practice)
• Joanne Christian
• Trevor L Clayton, MD
• Clinical Partners - Mt Pleasant
• Cassie Cochran, PTA
• Stephanie Lynn Cohen, RD, LD
• Crystal G Cooper, MS/CCC-SLP
• Robert L Cooper, D.D.S.
• Tori Corbell

• Custodial Care Facility in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Custodial Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.