Covenant Place of Sumter, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-632 Issued in SC

Legal business name

COVENANT PLACE OF SUMTER, INC

Practice address

2825 Carter Rd
Sumter, SC 29150-1712

Phone

(803) 469-7022

Fax

(803) 469-7003

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Risley E Linder Sr., NHA, CRCFA, CASP

Title

Executive Director

Phone

(803) 469-7007

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Covenant Place Nursing Center Doing business as

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1346451978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 CARTER RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501712",
            "telephone_number": "803-469-7007",
            "fax_number": "803-469-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CARTER RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501712",
            "telephone_number": "803-469-7022",
            "fax_number": "803-469-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PLACE OF SUMTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "RISLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-469-7007",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "NHA, CRCFA, CASP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "425402",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR/CERTIFICATION",
            "identifier": "425402",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Place Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Alison Cottone, OTR/L
• Virginia Manning Coulter, PT
• William Neal Coulter, DMD
• Counseling and Shifting Perspectives LLC
• Counseling Sumter
• Violet Cover
• Candace Wynonia Cox, LPC
• Mary Kathleen Cox, FNP-C
• Linda S Crabbe, MD
• Mark Macgregor Crabbe, MD

• Skilled Nursing Facility in Sumter, SC
• Providers in Sumter, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.