Organization Active NPI

Covenant Long-Term Care, LP

Doing business as Covenant Specialty Hospital

  • Long Term Care Hospital
  • Lubbock, TX
National Provider Identifier
1861685190
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
COVENANT LONG-TERM CARE, LP
Doing business as
Covenant Specialty Hospital
Practice address
3815 20TH Street
Lubbock, TX 79410
Phone
(806) 725-0573
NPI assigned
Aug 21, 2007
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Mr. Jeremy Mebane
Title
Administrator
Phone
(806) 725-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

3815 20TH Street
Lubbock, TX 79410

Mailing address

3815 20TH Street
Lubbock, TX 79410

Other names 1

  • Covenant Specialty Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1861685190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 20TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 20TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LONG-TERM CARE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "MEBANE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-725-9290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Specialty Hospital",
            "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 29, 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.