COVINGTON RESIDENTIAL LLC NPI 1871540930

NPI Information

  • NPI: 1871540930
  • Provider Name: COVINGTON RESIDENTIAL, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: PARKWAY COVE ASSISTED LIVING
  • Address: 805 BERT JOHNSTON AVE
    COVINGTON, TN
    ZIP 38019
  • Phone: (901) 475-9020

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NPI Details

COVINGTON RESIDENTIAL, LLC is an assisted living facility in Covington, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COVINGTON RESIDENTIAL, LLC NPI is 1871540930. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkway Cove Assisted Living.

The provider's business location address is:

805 BERT JOHNSTON AVE
COVINGTON, TN
ZIP 38019-444
Phone: (901) 475-9020

The provider's authorized official is James Reiker .
The authorized official title is Treasurer and has the following contact phone number (573) 471-1113.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/22/2020.

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
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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