COVENANT HEALTH SERVICES (NPI# 1760846034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760846034 |
| Entity Type | Organization |
| Organization Name | COVENANT HEALTH SERVICES |
| Practice Address |
2730 Mill Creek Rd Mentone CA 92359-9807 |
| Practice Telephone | 9097250667 |
| Mailing Telephone | 9097250667 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DARRYL WILLIAM MONTEILH (CEO) |
| Authorized Official Telephone | 9097250667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 360092AN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043490741 | Covenant Health Services | Respiratory Therapist, Registered | 7923 Decoy Dr, Arlington, TX 76002-4549 | 2007-11-09 |
| Street Address |
2730 MILL CREEK RD |
| City | MENTONE |
| State | CA |
| Zip Code | 92359-9807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275010852 | Pingkan Leilani Simauw | Case Manager/Care Coordinator | 10360 Rock St, Mentone, CA 92359 | 2018-07-25 |
| 1861676033 | Laurel Elizabeth Slater | Registered Nurse | 34346 Fishhatchery Rd, Mentone, CA 92359 | 2007-12-24 |
| 1356530786 | Lisa M Coonrod | Registered Nurse | 34452 Fish Hatchery Rd, Mentone, CA 92359-0122 | 2007-10-22 |
| 1841759768 | Christy Hart | Counselor | 1336 Wabash Ave, Mentone, CA 92359-1124 | 2019-03-19 |
| 1790923753 | Rose Garden Residential Care | Alzheimer Center (Dementia Center) | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2009-01-29 |
| 1851639405 | Rose Garden Residential Operator, LLC | Assisted Living Facility | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2013-01-16 |
| 1801150164 | Tania Marie Mccracken | Midwife | 1378 Turquoise Ave, Mentone, CA 92359-1257 | 2012-07-01 |
| 1033263298 | James Patrick Caley Dds | Dentist | 1856 Mentone Blvd Ste B, Mentone, CA 92359-1276 | 2007-01-23 |
| 1770803546 | Building A Generation | Early Intervention Provider Agency | 1320 Crafton Ave, Mentone, CA 92359-1318 | 2010-06-03 |
| 1710544713 | Elizabeth An Hess | Behavior Technician | 1365 Crafton Ave Apt 2092, Mentone, CA 92359-1354 | 2019-05-24 |
| Find all providers in zip 92359 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.