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COVENANT CARE SERVICES LLC NPI 1720419641


NPI Information

NPI: 1720419641
Provider Name: COVENANT CARE SERVICES LLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1208 SLOAN ST
GREENSBORO, NC
ZIP 27401
Phone: (336) 339-9788
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COVENANT CARE SERVICES LLC is an assisted living and mental illness assisted living facility in Greensboro, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. COVENANT CARE SERVICES LLC NPI is 1720419641. The provider is registered as an organization entity type.

The provider's business location address is:

1208 SLOAN ST
GREENSBORO, NC
ZIP 27401-442
Phone: (336) 339-9788

The provider's authorized official is Blondell P Simpson .
The authorized official title is Owner/ Director and has the following contact phone number (336) 542-6396.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 8/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL 041 1088NORTH CAROLINAYes

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: 4/28/2024

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