Active NPI
Covenant Health System
- Home Health Agency
- Denton, TX
National Provider Identifier
1619966207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007008
- Legal business name
- COVENANT HEALTH SYSTEM
- Practice address
- 1308 Teasley LN
Denton, TX 76205-7946 - Phone
- (940) 382-1011
- Fax
- (940) 383-3435
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam Matani
- Title
- Controller
- Phone
- (806) 725-8691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007008 | TX | Primary |
Addresses
Primary practice location
1308 Teasley LN
Denton, TX 76205-7946
Mailing address
4709 66TH St
Lubbock, TX 79414-4841
Phone (806) 725-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012888601 | Medicaid | TX | |
| 024564901 | Medicaid | TX |
Other names 1
- COVENANT HEALTH SYSTEM
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1619966207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 66TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144841",
"telephone_number": "806-725-8400",
"fax_number": "806-725-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 TEASLEY LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762057946",
"telephone_number": "940-382-1011",
"fax_number": "940-383-3435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "MATANI",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "806-725-8691",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "007008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012888601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024564901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COVENANT HEALTH SYSTEM",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.