COVENANT CARE, LLC


Address: 112 Goshen Commercial Park Dr., Rincon, GA 31326
Phone: 9128263883

COVENANT CARE, LLC (NPI# 1861943284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861943284
Entity Type Organization
Organization Name COVENANT CARE, LLC
Practice Address 112 Goshen Commercial Park Dr.
Rincon
GA 31326
Mailing Address Po Box 1082
Rincon
GA 31326-1082
Practice Telephone 9128263883
Enumeration Date 2016-10-20
Last Update Date 2016-10-20
Authorized Official Name YEMI SONAIKE (CEO)
Authorized Official Telephone 9128263883
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467764100 Covenant Care, LLC Home Health 6 W County St, Ste. 108, Hampton, VA 23663-2336 2010-07-10
1144541293 Covenant Care, LLC Residential Treatment Facility, Emotionally Disturbed Children 6920 W Carson Rd, Laveen, AZ 85339-7028 2010-06-11
1508197054 Covenant Care, LLC Nursing Care 7015 Brooklyn Blvd, Suite 106, Brooklyn Center, MN 55429-1365 2010-01-22
1417254285 Covenant Care, LLC Home Health 6 W County St, Suite 108, Hampton, VA 23663-2336 2011-02-14

Office Location

Street Address 112 GOSHEN COMMERCIAL PARK DR.
City RINCON
State GA
Zip Code 31326

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437657160 Vitality Counseling, Inc Counselor 135 Goshen Road Ext Ste 203, Rincon, GA 31326 2018-01-29
1174045322 Katelyn Dodsworth Sundin Dentist 5871 Ga-21 S, Rincon, GA 31326 2017-07-10
1013465681 Aaron D. Webb Nurse Practitioner 423 S Columbia Avenue, Rincon, GA 31326 2016-09-13
1659726255 Reagan Reese Powell Counselor 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 2016-05-02
1982065652 Shronda Bowman Specialist 1214n Columbia Ave, Unit B, Rincon, GA 31326 2016-03-09
1306202890 The Kroger Co Durable Medical Equipment & Medical Supplies 461 S Columbia Ave, Rincon, GA 31326 2016-01-13
1053628255 Jennifer Erin Creech Dentist 429 S Columbia Ave, Rincon, GA 31326 2010-09-09
1548596737 Rincon Medical Center Clinic/Center 119 Chimney Road, Rincon, GA 31326 2009-10-23
1770732968 Hospital Authority of Effingham County Clinic/Center 110 Goshen Road, Rincon, GA 31326 2008-09-12
1972759892 Ear Nose and Throat Associates of Savannah, PC Otolaryngology 423 South Columbia Avenue, Rincon, GA 31326 2008-08-12
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1801403050 Safe Haven Personal Care Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 2020-09-30
1659987931 Pinkies Place Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 216 Self St, Warner Robins, GA 31088-5506 2020-09-22
1629680293 Caregiver Ga, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 2020-08-17
1730799073 Victory Won Counseling and Res Care Prof. Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 2020-08-02
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1619519709 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 516 Freedom Trl, Brunswick, GA 31525-4712 2019-10-10
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1467013821 Csb of East Central Ga Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5101 Parnell Way, Martinez, GA 30907-8896 2019-06-26
1013474915 Community Service Board of East Central Georgia Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1715 Lawerence Rd, Hephzibah, GA 30815-4445 2019-02-27
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Competitor

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City RINCON
Zip Code 31326

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Dataset Information

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.

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