Active NPI
Covenant Community Partners LLC
- Case Management Agency
- Raleigh, NC
National Provider Identifier
1407051444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COVENANT COMMUNITY PARTNERS LLC
- Practice address
- 4000 Wake Forest Rd
Suite 114
Raleigh, NC 27609-6879 - Phone
- (919) 876-8113
- Fax
- (919) 876-8114
- NPI assigned
- Jun 19, 2007
- 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
- Mrs. Yvette Joy Munroe, BA
- Title
- Executive Director
- Phone
- (919) 475-9723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4000 Wake Forest Rd
Suite 114
Raleigh, NC 27609-6879
Mailing address
1803 Chapel Hill Rd
Durham, NC 27707-1175
Phone (919) 401-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301610 | Medicaid | NC | |
| 8301610B | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Covenant Community Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Durham, NC
- NPI 1295890879
Locations
4000 Wake Forest Rd
Ste 114
Raleigh, NC 27609
Phone (919) 876-8113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437955200000",
"number": "1407051444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 CHAPEL HILL RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071175",
"telephone_number": "919-401-8000",
"fax_number": "919-401-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WAKE FOREST RD",
"address_2": "SUITE 114",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096879",
"telephone_number": "919-876-8113",
"fax_number": "919-876-8114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT COMMUNITY PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2015-07-27",
"status": "A",
"authorized_official_last_name": "MUNROE",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-475-9723",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301610",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301610B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.