Covenant Caregivers of Hattiesburg, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COVENANT CAREGIVERS OF HATTIESBURG, LLC

Practice address

201 S 27TH Ave Ste 30
Hattiesburg, MS 39401-7168

Phone

(601) 856-5660

Fax

(601) 856-5709

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Mike Davis

Title

Owner

Phone

(601) 966-7162

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1720859242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391301481",
            "telephone_number": "601-856-5660",
            "fax_number": "601-856-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 27TH AVE STE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017168",
            "telephone_number": "601-856-5660",
            "fax_number": "601-856-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CAREGIVERS OF HATTIESBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-966-7162"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee L Cotton, LMFT
• Christopher Cougle, MD
• Jason Courtney, CPSS
• Judy Courtney, CRNA
• Tara A. Courtney, MS, CCC-SLP
• Latasha Reshaye Cowan, LPC-S
• Amanda A Cox, RPT
• Ashleigh Cox
• Jessica Leigh Cox, LCSW
• Linda Myers Cox, PHD

• In Home Supportive Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.