Covenent Care Health Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

743261544 Issued in GA

Legal business name

COVENENT CARE HEALTH SERVICE

Practice address

132 Ashtonbrook Dr
McDonough, GA 30252-6706

Phone

(770) 707-2759

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Corone Nicola Reid

Title

Administrator

Phone

(770) 707-2759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1578725883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ASHTONBROOK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526706",
            "telephone_number": "770-707-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ASHTONBROOK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526706",
            "telephone_number": "770-707-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENENT CARE HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CORONE",
        "authorized_official_middle_name": "NICOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-707-2759"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "743261544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.