Covenant Care Services LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL 041 1088 Issued in NC

Legal business name

COVENANT CARE SERVICES LLC

Practice address

1208 Sloan St
Greensboro, NC 27401-3442

Phone

(336) 339-9788

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Blondell P Simpson

Title

Owner/ Director

Phone

(336) 542-6396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1720419641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 SLOAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013442",
            "telephone_number": "336-542-6396",
            "fax_number": "336-694-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 SLOAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013442",
            "telephone_number": "336-339-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BLONDELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "336-542-6396"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL 041 1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri V Courtright, LPT
• Sheronette Ann Cousins, M.D.
• Andrea Nicole Couts, MS, OTR/L,CHT
• Cortni Sue Couture, PA-C
• Alan Covell, RN
• Covenant of Love Marriage Ministry, LLC
• Jamie Renee Covington, NP
• Tesia C Covington
• Timothy Germaine Covington Jr., LCMHCA
• Ebony Cowan

• Assisted Living Facility (Mental Illness) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.