NPIMap

Organization Active NPI

Covenant of Love Uul Corporation

Doing business as Covenant of Love Community Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1669776092
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5464TLF-1 Issued in NV
Legal business name
COVENANT OF LOVE UUL CORPORATION
Doing business as
Covenant of Love Community Services
Practice address
408 Eldorado Hills CT
Las Vegas, NV 89110-5646
Phone
(702) 810-4830
Fax
(702) 255-7766
NPI assigned
Dec 28, 2010
Last updated
Dec 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Mrs. Charlene White Bynum, DR. STUDENT HCANPI 1558665208
Title
President, Administrator, Cadc
Phone
(702) 810-4830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5464TLF-1 NV Primary
Exclusive Provider Organization 302F00000X 5061AGC-1 NV

Addresses

Primary practice location

408 Eldorado Hills CT
Las Vegas, NV 89110-5646

Mailing address

408 Eldorado Hills CT
Las Vegas, NV 89110-5646
Phone (702) 810-4830

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidNV

Other names 1

  • Covenant of Love Community Services Doing business as

National Provider Directory

National Provider Directory

Locations

1100 N Martin Luther King Blvd
Ste C
Las Vegas, NV 89106
Phone (702) 646-8464

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1669776092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ELDORADO HILLS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105646",
            "telephone_number": "702-810-4830",
            "fax_number": "702-255-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ELDORADO HILLS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105646",
            "telephone_number": "702-810-4830",
            "fax_number": "702-255-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT OF LOVE UUL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "PRESIDENT, ADMINISTRATOR, CADC",
        "authorized_official_telephone_number": "702-810-4830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DR. STUDENT HCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5464TLF-1",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "5061AGC-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant of Love Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.