Covenant Senior Day Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COVENANT SENIOR DAY PROGRAM

Practice address

7211 Oakland Dr
Portage, MI 49024-4151

Phone

(269) 324-3250

Fax

(269) 321-0202

NPI assigned

Oct 9, 2013

Last updated

Oct 10, 2013By 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

Paul Kurlowicz

Title

Board Chair

Phone

(269) 324-3250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1720415615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244151",
            "telephone_number": "269-324-3250",
            "fax_number": "269-321-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244151",
            "telephone_number": "269-324-3250",
            "fax_number": "269-321-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT SENIOR DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "KURLOWICZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "269-324-3250"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Cosby
• Jeffery Clinton Cosgrove, O.D.
• Brooklin Coss
• Aoua Coulibaly, DDS
• Courtney Ford, LLC
• James Darrell Cowart, PH.D
• Ann E. Crabb, PHD
• Stacey Virginia Crane, LPC
• Chelsea Lou Cravens, RN
• Cindy Crawford

• Community/Behavioral Health Agency in Portage, MI
• Providers in Portage, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.