Covenant Life Management, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

COVENANT LIFE MANAGEMENT, LLC

Practice address

485 Central Ave NE
Cleveland, TN 37311-5541

Phone

(423) 478-5953

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas D Johnson

Title

Chief Manager

Phone

(423) 478-5953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1447764287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 CENTRAL AVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115541",
            "telephone_number": "423-478-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 CENTRAL AVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115541",
            "telephone_number": "423-478-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LIFE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-478-5953"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Carson Corley, BEHAVIOR TECHNICIAN
• Katelyn Cornett, OTR/L
• Elizabeth Ann Couillard, CRNA
• Heather Coulston
• County of Bradley County Fund (Bradley County Emergency Medical Services)
• Jessica Moriah Covert, ATC
• Cox Vision Center PC
• Ashley Cox
• Tanner Luke Cox, DPT
• Barry D Crabtree, MD

• Nursing Care Agency in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Nursing Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.