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COVENANT COVE CARE LLC
NPI 1104690197
Driver in Grenada, MS

Active since November 09, 2023
101 KIRK AVE APT C7, GRENADA, MS 38901(662) 647-7546 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Nov 9, 2023 (2 updates tracked since 2023).

About Covenant Cove Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT COVE CARE LLC (NPI 1104690197) is a healthcare organization registered as a driver in Grenada, Mississippi and active in the NPI registry since November 2023. The organization lists Georgeanna Stokes, Owner, as its authorized official.

NPPES Registry Identity

NPI1104690197
Entity TypeOrganization
Primary Taxonomy172A00000X
Legal Business NameCOVENANT COVE CARE LLC
Location Address101 KIRK AVE APT C7Grenada, MS 38901-2880
Mailing Address101 Kirk Ave Apt C7Grenada, MS 38901-2880 · (662) 647-7546
Phone(662) 647-7546
Organization SubpartNo
Authorized OfficialGeorgeanna StokesOwner · (662) 647-7546
Enumeration DateNovember 9, 2023
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1104690197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Also ListedAssisted Living FacilityTaxonomy 310400000X
101 KIRK AVE APT C7, Grenada, MS 38901
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Other Names 1

Doing Business AsCovenant Cove Care Llc

Other Identifiers 1

Medicaid1033983184MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGEANNA STOKES
Driver
101 KIRK AVE APT C7
GRENADA, MS 38901
Grenada County (901) 443-8901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Cove Care LLC's NPI number?

The NPI number for Covenant Cove Care LLC is 1104690197. It was assigned to this organization in the NPPES registry on November 9, 2023.

Where is Covenant Cove Care LLC located?

Covenant Cove Care LLC is located at 101 Kirk Ave Apt C7, Grenada, MS 38901. The listed phone number is (662) 647-7546.

What is Covenant Cove Care LLC's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Covenant Cove Care LLC was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.