The Covington'S Cove Assisted Living Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE COVINGTON'S COVE ASSISTED LIVING CENTER LLC

Practice address

192 Mary Magdalene Church Rd
Hattiesburg, MS 39401

Phone

(601) 310-8014

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Travis Montez Deloach, RN

Title

Owner

Phone

(601) 310-8014

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1043671704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAPLE DR",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394656816",
            "telephone_number": "601-310-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 MARY MAGDALENE CHURCH RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-310-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVINGTON'S COVE ASSISTED LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "MONTEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-310-8014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Barton Thames, DDS
• Cynthia Lee Thames, MD
• The Arc Southeast Mississippi
• The Arc Southeast Mississippi
• The Bradley Center LLC
• The Cstone Group
• The Family Practice/After Hours Clinic, PLLC
• The Hills, LLC
• The Hope Center
• The Lactation Network, LLC

• Assisted Living Facility in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.