NPIMap

Organization Active NPI

Covenant Long-Term Care LLC

Doing business as Covenant Specialty Hospital

  • Long Term Care Hospital
  • Lubbock, TX
National Provider Identifier
1013941780
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
COVENANT LONG-TERM CARE LLC
Doing business as
Covenant Specialty Hospital
Practice address
3815 20TH Street
Lubbock, TX 79410-1203
Phone
(806) 725-9200
NPI assigned
Jul 10, 2006
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Long Term Care Hospital 282E00000X TX Primary

Addresses

Primary practice location

3815 20TH Street
Lubbock, TX 79410-1203

Mailing address

PO Box 677060
Dallas, TX 75267-7060

Other names 1

  • Covenant Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000355 TX Part A Provider - Hospital 4082618970 Practice locations: Lubbock, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013941780. Details of each certification follow.

Hospital certification: CCN 452102

Legal name
COVENANT LONG-TERM CARE LLC
Doing business as
COVENANT SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Oct 1, 2007
Last certification
Nov 2, 2022
Beds
56
Ownership / control type
Private (for profit)
Organization structure
LLCNon-profit
Enrollment address
3815 20TH St
Lubbock, TX 79410-1235
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Covenant Specialty HospitalCCN 452102 · All quality measures
Ownership
For profit
Certified
Oct 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Beds
56

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3815 20th St
Lubbock, TX 79410
Phone (806) 725-9200

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Burrell Individual Corporate OfficerCorporate Secretary Mar 1, 2023
Julie Bell Individual W-2 Managing EmployeeChief Nursing Officer Nov 15, 2009
Keino McWhinney Individual Corporate DirectorBoard Member Jan 1, 2023
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Aug 1, 2020
Covenant Health System Organization, Lubbock, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 17, 2022 100%
Jesus Mendoza Individual Corporate DirectorBoard Member Jan 1, 2023
Lubbock Methodist Hospital System Organization, Lubbock, TX Corporation, Non-profit Other Apr 1, 1999 43%
Jennifer L. Bryan Individual Corporate OfficerCfo Oct 22, 2023
David Shephard Individual Corporate DirectorBoard Member Jan 1, 2025
Amy N Thompson Individual Corporate OfficerCeo Jan 26, 2025
Corporate DirectorBoard Member Oct 26, 2023
Adam K Purtell Individual Corporate DirectorBoard Member Jan 1, 2026
Anthony Fogerson Individual Corporate DirectorBoard Member Jan 1, 2024
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Sep 1, 2023
Gregory David Hoffman Individual Corporate OfficerCfo/Treasurer Sep 1, 2023
St. Joseph Health System Organization, Irvine, CA Corporation, Non-profit, Chain home office Other Apr 1, 1999 57%
Nicki Colbert Individual Corporate DirectorBoard Member Jan 1, 2025
John Osborne Individual Corporate DirectorBoard Member Jan 1, 2026
Jamie White Individual W-2 Managing EmployeeAd; Feb 10, 2025
Katie L Hendley Individual Corporate DirectorBoard Member Sep 1, 2025
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit Other Jul 1, 2016
Chad Wheeler Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 140

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1013941780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752677060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 20TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LONG-TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.