Active NPI
Covenant Human Services Wny
- Substance Abuse Rehabilitation Facility
- Buffalo, NY
National Provider Identifier
1376899336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.