Organization Active NPI

Covenant Human Services Wny

  • Substance Abuse Rehabilitation Facility
  • Buffalo, NY
National Provider Identifier
1376899336
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COVENANT HUMAN SERVICES WNY
Practice address
95 Wakefield Ave
Buffalo, NY 14214-2111
Phone
(716) 464-7057
Fax
(716) 464-7057
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Ms. Tracy Yolanda Hunt, BS, MS
Title
President/Ceo
Phone
(716) 464-7057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

95 Wakefield Ave
Buffalo, NY 14214-2111

Mailing address

95 Wakefield Ave
P.O Box 821 Buffalo Ny 14215
Buffalo, NY 14214-2111
Phone (716) 464-7057

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1376899336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WAKEFIELD AVE",
            "address_2": "P.O BOX 821 BUFFALO NY 14215",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142111",
            "telephone_number": "716-464-7057",
            "fax_number": "716-464-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WAKEFIELD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142111",
            "telephone_number": "716-464-7057",
            "fax_number": "716-464-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HUMAN SERVICES WNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-464-7057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.