COVENANT COMM. DEV. CORP. NPI 1194910679

NPI Information

NPI: 1194910679
Provider Name: COVENANT COMM. DEV. CORP.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Former Legal Business Name: POSTIVE ATMOSPHERE REACHES KIDS
Address: 1217 REV S HOWARD WOODSON JR WAY
TRENTON, NJ
ZIP 08638
Phone: (609) 695-0684

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NPI Details

COVENANT COMM. DEV. CORP. is a preferred provider organization in Trenton, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. COVENANT COMM. DEV. CORP. NPI is 1194910679. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Postive Atmosphere Reaches Kids.

The provider's business location address is:

1217 REV S HOWARD WOODSON JR WAY
TRENTON, NJ
ZIP 08638-015
Phone: (609) 695-0684
Fax: (609) 396-1198

The provider's authorized official is Alma Corliss Vincent .
The authorized official title is Ceo and has the following contact phone number (609) 695-0684.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization			NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0022101	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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