Covenant Health & Rehab of Picayune, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

593 Issued in MS

Legal business name

COVENANT HEALTH & REHAB OF PICAYUNE, LP

Practice address

1620 Read Rd
Picayune, MS 39466-2710

Phone

(601) 798-1811

Fax

(601) 798-2362

NPI assigned

May 11, 2006

Last updated

Aug 10, 2007By 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

Mrs. Judy Ullery

Title

President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1629028352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662710",
            "telephone_number": "601-798-1811",
            "fax_number": "601-798-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662710",
            "telephone_number": "601-798-1811",
            "fax_number": "601-798-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTH & REHAB OF PICAYUNE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "ULLERY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Communication Connection, LLC
• Community Home Care Pharmacy Inc. (Failla's Vital Care)
• Jaime Conerly-Sylvas, PHARM D
• Nicole Cousin
• Covenant Health & Rehab of Picayune, LLC
• Creekside Pediatric Therapy LLC
• Robert Joseph Crochet III, PT, DPT
• Pamela Mitchell Cross, LCSW
• Timothy James Cuevas
• Cynthia V Aly- Jean-Pierre

• Skilled Nursing Facility in Picayune, MS
• Providers in Picayune, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.