Covenant Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COVENANT VILLAGE

Practice address

1351 Robinwood Rd
Gastonia, NC 28054-1693

Phone

(704) 867-2319

Fax

(704) 867-4442

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By 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

Judy Holcomb, RN

Title

Director of Nursing

Phone

(704) 867-2319

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1871822825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ROBINWOOD RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541693",
            "telephone_number": "704-867-2319",
            "fax_number": "704-867-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 ROBINWOOD RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541693",
            "telephone_number": "704-867-2319",
            "fax_number": "704-867-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "704-867-2319",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Cooper DDS, PLLC
• Courtview OB/GYN Associates, PA
• Krysta Danielle Cousino
• Mark Moscoe Couture, M.D.
• Covenant Eye Care, PA
• Jennifer Covington, MSW, LCSWA
• Lauren Jane Cownie, SLP
• Cox Road Urgent Care
• Rachel Lamb Cox, PA-C
• Russell Cox, MD

• Assisted Living Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.