Organization Active NPI

Covenant Health System

  • Home Health Agency
  • Denton, TX
National Provider Identifier
1619966207
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007008 Issued in TX
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

Updated by the provider on Aug 4, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012888601MedicaidTX
024564901MedicaidTX

Other names 1

  • COVENANT HEALTH SYSTEM Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.