Covenant of Companionship, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

COVENANT OF COMPANIONSHIP, LLC

Practice address

1919 McKinney Ave Ste 1015
Dallas, TX 75201-2495

Phone

(469) 682-9506

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Makeba Janea Washington, LVNNPI 1205446861

Title

Chief Executive Officer

Phone

(469) 682-9506

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Covenant of Companionship, LLC Former legal business name

Locations

Practitioners 1

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

• Makeba Janea Washington, LPN

  • Licensed Practical Nurse
  • Duncanville, TX
  • NPI 1205446861
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1740883040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MCKINNEY AVE STE 1015",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012495",
            "telephone_number": "469-682-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MCKINNEY AVE STE 1015",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012495",
            "telephone_number": "469-682-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT OF COMPANIONSHIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "MAKEBA",
        "authorized_official_middle_name": "JANEA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "469-682-9506",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "9999999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant of Companionship, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kellyena A Coutee, LPC, LMFT
• Sophie R Couto, DDS
• Jacqueline Denise Covelli, FNP-C
• Covenant Christian Ministries (ADD Treatment and Research Center)
• Covenant Home Health Services, Inc
• Janet G. Cover, PNP
• Covidemt Clinics PLLC
• Julie Covin
• Julie Marie Covino, D.M.D
• Greer Avery Cowan

• Community Health Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.