Covenant Health Staffing LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

COVENANT HEALTH STAFFING LLC

Practice address

193 Creekside Way
Burlington, NJ 08016-1056

Phone

(732) 725-7478

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Peter D. Ajala

Title

Administrator

Phone

(732) 725-7478

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1487411260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 CREEKSIDE WAY",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161056",
            "telephone_number": "732-725-7478",
            "fax_number": "732-231-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 CREEKSIDE WAY",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161056",
            "telephone_number": "732-725-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Creekside Way",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080161056",
            "country_code": "US",
            "telephone_number": "732-725-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COVENANT HEALTH STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "AJALA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-725-7478"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Coralluzzo, LPN
• Angeline Corbett, LPN
• Anthony J Cordisco, DPM
• Laura Cosentino, LPC
• Vincent Cotroneo, RBT
• Stephanie Ann Crane, LCSW
• Elizabeth Crawford
• John Croce, APN
• Crossroads Programs
• Stephanie Leigh Crutchfield, RD

• Nursing Care Agency in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Nursing Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.