Covenant Elder Health Services & Management LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COVENANT ELDER HEALTH SERVICES & MANAGEMENT LLC

Practice address

2116 Sam Wilson Rd
Charlotte, NC 28214-9083

Phone

(704) 995-6643

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Hiep PhamNPI 1780690503

Title

President

Phone

(704) 995-6643

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hiep Pham

  • Geriatric Medicine (Family Medicine) Physician
  • Matthews, NC
  • NPI 1780690503
  NPD Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1679064323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78967",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 SAM WILSON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149083",
            "telephone_number": "704-995-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ELDER HEALTH SERVICES & MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-995-6643",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence P Coutts, MD
• Meghan M Couture, CRNA
• Benjamin Covell
• Caleigh Ann Covell, LP
• Nicole Bensen Covell, DO
• Covenant in-Home Care, LLC
• Lindsay Allison Cover, PA
• Linda Renee Coverdale, P.A.
• Covilab
• Covington DMD PLLC (Carolina TMJ and Sleep Solutions)

• Adult Care Home Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.