Covenire Care Nokomis, LLC - Dba the Waters of Minnehaha

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COVENIRE CARE NOKOMIS, LLC - DBA THE WATERS OF MINNEHAHA

Practice address

3720 23Rd Ave S
Minneapolis, MN 55407-3010

Phone

(612) 238-0100

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By 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

Howie Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1770889487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 23RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 23RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073010",
            "telephone_number": "612-238-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENIRE CARE NOKOMIS, LLC - DBA THE WATERS OF MINNEHAHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Cousineau
• Collin Markham Cousins, MD
• Dana B Cousins, PAC
• Heather Cousins, LICSW
• Covenant Home Services (CovenantCare at Home)
• Kirsten Rochel Coverstone, M.A.
• Sara Kay Covington Andrews, NNP-BC
• Denise Shanee Covington
• Susan Wanjiku Covington, CNP
• Valerie L. Covington

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.