Organization Active NPI

The Jewish Federation of Greater Dayton

Doing business as Covenant House

  • Skilled Nursing Facility
  • Dayton, OH
National Provider Identifier
1235120361
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3228 Issued in OH
Legal business name
THE JEWISH FEDERATION OF GREATER DAYTON
Doing business as
Covenant House
Practice address
4911 Covenant House Dr
Dayton, OH 45426-2007
Phone
(937) 837-2651
Fax
(937) 837-5831
NPI assigned
Oct 28, 2005
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE JEWISH FEDERATION OF GREATER DAYTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Maryann Bernstein
Title
Administrator
Phone
(937) 837-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3228 OH Primary

Addresses

Primary practice location

4911 Covenant House Dr
Dayton, OH 45426-2007

Mailing address

4911 Covenant House Dr
Dayton, OH 45426-2007
Phone (937) 837-2651

Other identifiers 1

IdentifierTypeStateIssuer
0212844MedicaidOH

Other names 1

  • Covenant House Doing business as

National Provider Directory

National Provider Directory
Part of
The Jewish Federation of Greater Dayton

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1235120361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 COVENANT HOUSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454262007",
            "telephone_number": "937-837-2651",
            "fax_number": "937-837-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 COVENANT HOUSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454262007",
            "telephone_number": "937-837-2651",
            "fax_number": "937-837-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEWISH FEDERATION OF GREATER DAYTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JEWISH FEDERATION OF GREATER DAYTON",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-837-2651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "3228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212844",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.