Covenant Cove Care Llc

LBN: Covenant Cove Care Llc
Covenant Cove Care Llc is an health care organization with primary practice located at 101 Kirk Ave Apt C7 , Grenada MS 38901-2880. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing & Custodial Care Facilities / Assisted Living Facility. Other Service Providers / Driver is the primary health care specialty. Covenant Cove Care Llc can be contacted via phone (662) 647-7546, or through Stokes, Georgeanna via phone (662) 647-7546.

Contact Information

Primary practice address
101 Kirk Ave Apt C7 Grenada MS 38901-2880
Phone: (662) 647-7546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stokes, Georgeanna
Phone: (662) 647-7546

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1104690197
LBN Legal business name Covenant Cove Care Llc
DBA Doing business as Covenant Cove Care Llc
Authorized official Stokes, Georgeanna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2023
Last updated Mar 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104690197 NPPES
Mississippi MEDICAID 1033983184

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