Caring Covenant Community Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CARING COVENANT COMMUNITY HOME, LLC

Practice address

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528

Phone

(817) 528-0971

Fax

(469) 779-6112

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By 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

Mr. Antoine Moury'E Beachum, CMANPI 1477981793

Title

Owner/President

Phone

(817) 528-0971

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Antoine Moury'E Beachum, CMA

  • Home Health Aide
  • Lancaster, TX
  • NPI 1477981793
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1548942279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751468114",
            "telephone_number": "817-528-0971",
            "fax_number": "469-779-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "817-528-0971",
            "fax_number": "469-779-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING COVENANT COMMUNITY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "BEACHUM",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "MOURY'E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "817-528-0971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candds Dental Company PLLC
• Joseph Louis Capasso, PA-C
• Capital Health, PLLC (TotalCare)
• Careconnect Home Health Services
• Courtney Jean Cargil
• Caring Hands Home Health Agency (Ameshi Management Corporation)
• Caring4U1On1 LLC
• Kay Carrington
• Lori Ann Cashimere, PNP
• Cedar Hill Adult Day Care & Recreation Center Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.