The Covenant House

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

130306 Issued in TX

Legal business name

THE COVENANT HOUSE

Doing business as

The Covenant House

Practice address

106 South Johnson Ave
Mt. Pleasant, TX 75455-4451

Phone

(903) 575-0070

Fax

(903) 575-0879

NPI assigned

Aug 27, 2010

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BEST FRIENDS ADULT ACTIVITY CENTERAs reported in NPPES

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

Authorized official

Name

Ms. Cheryl Yvette Heard

Title

Facility Director

Phone

(903) 575-0070

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Covenant House Doing business as

Part of

Best Friends Adult Activity Center Inc

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1437465598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTH JOHNSON AVE",
            "city": "MT. PLEASANT",
            "state": "TX",
            "postal_code": "754554451",
            "telephone_number": "903-575-0070",
            "fax_number": "903-575-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SOUTH JOHNSON AVE",
            "city": "MT. PLEASANT",
            "state": "TX",
            "postal_code": "754554451",
            "telephone_number": "903-575-0070",
            "fax_number": "903-575-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVENANT HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEST FRIENDS ADULT ACTIVITY CENTER",
        "enumeration_date": "2010-08-27",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "903-575-0070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "130306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000874",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Covenant House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garry Bill Taylor, D.O.
• Stephanie Judith Taylor, FNP
• Texarkana Eye Associates (Mt. Pleasant Eye Associates)
• Texas Em-I Medical Services, P.a.
• Texas Helping Hands, Inc
• The Lodge at Mt Pleasant LLC (The Lodge Assisted Living & Memory Care)
• The Pediatric Clinic, P.a. (Pediatric Clinic Mount Pleasant)
• The Pediatric Clinic, P.a.
• The Villas of Mount Pleasant LLC (Villas of Mount Pleasant)
• Thelma M Hernandez MD PA

• Skilled Nursing Facility in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.