Covenant Care, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

HCO-11669 Issued in VA

Legal business name

COVENANT CARE, LLC

Practice address

6 W County St
Suite 108
Hampton, VA 23663-2336

Phone

(757) 224-9944

Fax

(757) 224-2659

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Karon Jeanne Shields

Title

Administrator

Phone

(757) 224-9944

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1417254285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W COUNTY ST",
            "address_2": "SUITE 108",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236632336",
            "telephone_number": "757-224-9944",
            "fax_number": "757-224-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W COUNTY ST",
            "address_2": "SUITE 108",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236632336",
            "telephone_number": "757-224-9944",
            "fax_number": "757-224-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "KARON",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-224-9944"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-11669",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO-11669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rondeshya Keyonna Cosby, PMHNP-BC
• Chutikarn Cotham
• Alexis J Cotton
• Cynthia Renee Cotton, QMHP
• Meagan Riley Couch, PHARMD
• Covenant Care, LLC
• Covenant Speech TX Plus, LLC
• Natashia Nicole Cowan, MA, LPC, LSATP, NCC
• Wayne S Cox, PA-C
• William Duane Cox, OPTICIAN

• Respite Care in Hampton, VA
• Providers in Hampton, VA by specialty
• Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.