Covenant Medical Supply, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

47574 Issued in CA

Legal business name

COVENANT MEDICAL SUPPLY, INC.

Doing business as

Cms, Inc.

Practice address

351 Wilkerson Ave
Suite a
Perris, CA 92570-2203

Phone

(951) 943-3900

Fax

(951) 943-3939

NPI assigned

Nov 7, 2006

Last updated

May 14, 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

Mr. Lloyd Udonwa Nsek Sr., MIN.

Title

Chief Executive Officer

Phone

(909) 815-5635

Specialties & licenses 1

Addresses

Other names 1

• Cms, Inc. Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1205905718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WILKERSON AVE",
            "address_2": "SUITE A",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702203",
            "telephone_number": "951-943-3900",
            "fax_number": "951-943-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WILKERSON AVE",
            "address_2": "SUITE A",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702203",
            "telephone_number": "951-943-3900",
            "fax_number": "951-943-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "NSEK",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "UDONWA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-815-5635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MIN."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "47574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cms, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Perris, CA
• Providers in Perris, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.