NPIMap

Organization Active NPI

Coenant Health System

Doing business as Covenant Home Health Care

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1740279330
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006945 Issued in TX
Legal business name
COENANT HEALTH SYSTEM
Doing business as
Covenant Home Health Care
Practice address
4709 66TH St
Lubbock, TX 79414-4841
Phone
(806) 725-8400
Fax
(806) 725-8463
NPI assigned
Oct 17, 2005
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. Sam Matani
Title
Controller
Phone
(806) 725-8691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 006945 TX Primary

Addresses

Primary practice location

4709 66TH St
Lubbock, TX 79414-4841

Mailing address

4709 66TH St
Lubbock, TX 79414-4841
Phone (806) 725-8400

Other identifiers 2

IdentifierTypeStateIssuer
012807601MedicaidTX
121228403MedicaidTX

Other names 1

  • COVENANT HOME HEALTH CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gregory J Byrne MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1740279330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144841",
            "telephone_number": "806-725-8400",
            "fax_number": "806-725-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144841",
            "telephone_number": "806-725-8400",
            "fax_number": "806-725-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COENANT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "MATANI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "806-725-8691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012807601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121228403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.