Covenant Companion Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COVENANT COMPANION CARE, LLC

Doing business as

Christian Companion Senior Care

Practice address

5106 S U St Ste B
Fort Smith, AR 72903-3610

Phone

(479) 242-2273

Fax

(479) 242-0752

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By 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. Lori Williams

Title

Executive Director

Phone

(479) 242-2273

Specialties & licenses 1

Addresses

Other names 1

• Christian Companion Senior Care Doing business as

Locations

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1083976906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 S U ST STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033610",
            "telephone_number": "479-242-2273",
            "fax_number": "479-242-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 S U ST STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033610",
            "telephone_number": "479-242-2273",
            "fax_number": "479-242-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COMPANION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-242-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Companion Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.