Covenant Place of Abilene

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

117839 Issued in TX

Legal business name

COVENANT PLACE OF ABILENE

Practice address

3234 Buffalo Gap Rd
Abilene, TX 79605-7009

Phone

(325) 793-1144

Fax

(325) 793-1422

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Johannessen

Title

President & Coo

Phone

(972) 770-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Covenant Place of Abilene3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant Place of Waxahachie

  • Assisted Living Facility
  • Waxahachie, TX
  • NPI 1831281609
  NPD tax ID
• Good Place

  • Assisted Living Facility
  • North Richland Hills, TX
  • NPI 1326130188
  NPD tax ID

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1356433189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PKWY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544319",
            "telephone_number": "972-770-5600",
            "fax_number": "972-770-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057009",
            "telephone_number": "325-793-1144",
            "fax_number": "325-793-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PLACE OF ABILENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JOHANNESSEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "972-770-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "117839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CBA CONTRACT #",
            "identifier": "001014103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velma Cornett
• Anthony Corrao I, ATC
• Pilar Correa Roise
• Thomas Wade Cotney, M.D.
• Lance Michael Cotton, PT, DPT
• Amy Nicole Cowart
• Margaret Michalec Cowling, DDS
• Samantha Cowling, M.S., CCC-SLP
• Christine Marie Cox, RT (R)
• Conald W Cox Jr., MD

• Assisted Living Facility in Abilene, TX
• Providers in Abilene, TX by specialty
• Assisted Living Facility in Texas

• 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.