Organization Active NPI

Covenant Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • Hot Springs, AR
National Provider Identifier
1467196386
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COVENANT RECOVERY INC
Practice address
276 Linden St
Hot Springs, AR 71901-3308
Phone
(501) 226-6810
NPI assigned
Apr 26, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Sarah RackleyNPI 1568328722
Title
Office Manager
Phone
(501) 226-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

276 Linden St
Hot Springs, AR 71901-3308

Mailing address

276 Linden St
Hot Springs, AR 71901-3308
Phone (501) 226-6810

Other practice location 1

912 Section Line St
Malvern, AR 72104-4050
Phone (501) 226-6886

Other practice location 2

3201 W Pullen St
Pine Bluff, AR 71601-3242
Phone (870) 850-7527

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bsinclair3@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260130002762 AR Part B Supplier - Clinic/Group Practice 8729566799 Receives reassigned benefits from 7 practitioners
Practice locations: Hot Springs, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2284786Covenant Recovery Inc276 Linden St, Hot Springs, AR 71901Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

276 Linden St
Hot Springs, AR 71901
Phone (501) 226-6810

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1467196386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 LINDEN ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013308",
            "telephone_number": "501-226-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 LINDEN ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013308",
            "telephone_number": "501-226-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Section Line St",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721044050",
            "country_code": "US",
            "telephone_number": "501-226-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 W Pullen St",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716013242",
            "country_code": "US",
            "telephone_number": "870-850-7527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COVENANT RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-226-6810"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bsinclair3@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "276 Linden St",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719013308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.