COVENANT COMMUNITY CARE, INC. (NPI# 1528557105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528557105 |
| Entity Type | Organization |
| Organization Name | COVENANT COMMUNITY CARE, INC. |
| Practice Address |
5716 Michigan Ave Detroit MI 48210-3039 |
| Mailing Address |
559 W Grand Blvd Detroit MI 48216-2200 |
| Practice Telephone | 3135541095 |
| Mailing Telephone | 3135540485 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | CECILIA ASHLEY RAMIREZ (BILLING MANAGER) |
| Authorized Official Telephone | 3132280219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700377538 | Covenant Community Care, Inc. | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2018-05-29 |
| 1689925075 | Covenant Community Care, Inc. | Clinic/Center | 20901 Moross Rd, Detroit, MI 48236-2058 | 2012-09-25 |
| 1073834818 | Covenant Community Care, Inc. | Clinic/Center | 27776 Woodward Ave, Royal Oak, MI 48067-0930 | 2010-06-16 |
| 1255574265 | Covenant Community Care, Inc. | Clinic/Center | 1700 Waterman St, Detroit, MI 48209-2022 | 2009-04-07 |
| 1720134943 | Covenant Community Care, Inc. | Clinic/Center | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2007-01-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVENANT COMMUNITY CARE, INC. | 559 W Grand Blvd, Detroit, MI 48216-2200 |
| Street Address |
5716 MICHIGAN AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205827573 | Lisa J Mcintosh | Obstetrics & Gynecology | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2005-11-04 |
| 1891326625 | Gabriella Jamie Sanford | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-30 |
| 1972143782 | Joanna Veronica Dimas | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2020-01-09 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1326699752 | Carmensita J Buentello | Counselor | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-26 |
| 1316598329 | Disheka Denise Beverly-daniels | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-09-23 |
| 1912552449 | Katharine Nicole Marquez | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-08-01 |
| 1174183057 | Katherine Byl | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-06-13 |
| 1760955124 | Hawa A Haji-hassan | Student in an Organized Health Care Education/Training Program | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-09 |
| 1962975631 | Emma Jean Urbain | Social Worker | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
| 1083804173 | Detroit Medical Centre | General Acute Care Hospital | 4201 St. Antoine, Detroit, MI 48210 | 2007-07-26 |
| 1205030277 | Renaissance Dental PC | Dentist | 7330 W Warren Ave, Detroit, MI 48210-1041 | 2007-06-13 |
| Find all providers in zip 48210 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936039 | Linda Le | Optometrist | 1301 Orleans St Apt 1705, Detroit, MI 48207-2996 | 2020-06-15 |
| 1689077471 | Eyes On Midtown, PC | Optometrist | 71 Garfield St, Detroit, MI 48201-1905 | 2014-10-07 |
| 1104268267 | Grace Meram | Optometrist | 1449 Woodward Ave, Detroit, MI 48226-2001 | 2013-07-17 |
| 1679883490 | City of Detroit | Optometrist | 3245 E Jefferson Ave # 100, Detroit, MI 48207-4222 | 2010-10-14 |
| 1053642397 | Heritage Optical Inc. | Optometrist | 2678 E Jefferson Ave, Detroit, MI 48207-4129 | 2010-01-27 |
| 1881808202 | Eye Care Optometry | Optometrist | 5825 W Fort St, Detroit, MI 48209-3156 | 2007-05-09 |
| 1649311697 | Dawn Caldwell | Optometrist | 87 Monroe St, Detroit, MI 48226-2855 | 2007-02-11 |
| 1639217722 | Jacquelyn Willilams-blakey | Optometrist | 71 Garfield St., Ste. 180, Detroit, MI 48201-1911 | 2007-02-02 |
| 1467598672 | Pearle Vision Inc | Optometrist | 16915 Livernois Ave, Detroit, MI 48221-3058 | 2007-01-29 |
| 1225174410 | Pearle Vision Inc | Optometrist | 333 E Jefferson Ave, Suite 297, Detroit, MI 48226-4352 | 2007-01-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.