Covenant Health Care Services,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2460 Issued in MD

Legal business name

COVENANT HEALTH CARE SERVICES,LLC

Practice address

10115 Bartley Way
Lanham, MD 20706-2385

Phone

(301) 731-1366

Fax

(301) 731-1944

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Dwight Lorenzo Bynum

Title

Deputy Administrator

Phone

(301) 437-2844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1629249933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 BARTLEY WAY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062385",
            "telephone_number": "301-731-1366",
            "fax_number": "301-731-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 BARTLEY WAY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062385",
            "telephone_number": "301-731-1366",
            "fax_number": "301-731-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "301-437-2844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lanham, MD
• Providers in Lanham, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.