Covenant 15 16 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COVENANT 15 16 LLC

Practice address

6725 S Fry Rd Ste 700-514
Katy, TX 77494-8102

Phone

(833) 314-2215

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Shawn Thomas Capell, M.S., BCBA., LBANPI 1104258227

Title

Executive Director

Phone

(833) 314-2215

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shawn Thomas Capell

  • Behavior Analyst
  • Austin, TX
  • NPI 1104258227
  NPD Authorized official

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1942975842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 S FRY RD STE 700-514",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948102",
            "telephone_number": "833-314-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 S FRY RD STE 700-514",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948102",
            "telephone_number": "833-314-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT 15 16 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "CAPELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "833-314-2215",
        "authorized_official_credential": "M.S., BCBA., LBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia L Cotton, MD
• Jazmen Coulibaly
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• Crystal Nicole Cowen, LPC
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• David J Cox, DO

• In Home Supportive Care Agency in Katy, TX
• Providers in Katy, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.