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WATERMAN
NPI 1255574265
Clinic/Center - Federally Qualified Health Center (FQHC) in Detroit, MI

Active since April 07, 2009
1700 WATERMAN ST, DETROIT, MI 48209(313) 841-1612(313) 554-1918 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2023, Apr 6, 2022 (2 updates tracked since 2022).

About Waterman NPPES

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

WATERMAN (NPI 1255574265) is a healthcare organization registered as a federally qualified health center (fqhc) in Detroit, Michigan and active in the NPI registry since April 2009. The organization lists Anna Griebel Chavez, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255574265
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOVENANT COMMUNITY CARE, INC.
Location Address1700 WATERMAN STDetroit, MI 48209-2022
Mailing Address559 W Grand BlvdDetroit, MI 48216-2200 · (313) 554-0485 · Fax (313) 554-3885
Phone(313) 841-1612
Fax(313) 554-1918
Organization SubpartNo
Authorized OfficialAnna Griebel ChavezCfo · (313) 554-0485
Enumeration DateApril 7, 2009
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1255574265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in MI · 4704195855
1700 WATERMAN ST, Detroit, MI 48209
Open in Google Maps ↗

Other Names 1

Other NameWaterman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

RODNEY HAROLD AVERETT
Counselor
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 502-2334
MR. ANDREW DWIGHT HUMPHRIES LMSW
Social Worker (Clinical)
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900
THOMASINE WARD
Social Worker
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900
MR. THOMAS KIELY MOLINA-DUARTE LLMSW
Social Worker
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900
MS. PATRICIA BEASLEY
Social Worker (Clinical)
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900
CLARISSA AMOR PERALTA LCSW
Social Worker (Clinical)
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (915) 613-7674
DAMARY I PEREZ
Case Manager/Care Coordinator
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900
KRISTINA NICOLE HENNING
Social Worker
1700 WATERMAN ST
DETROIT, MI 48209
Wayne County (313) 841-8900

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 Community Care, Inc.'s NPI number?

The NPI number for Covenant Community Care, Inc. is 1255574265. It was assigned to this organization in the NPPES registry on April 7, 2009. The provider is also known as Waterman.

Where is Covenant Community Care, Inc. located?

Covenant Community Care, Inc. is located at 1700 Waterman St, Detroit, MI 48209. The listed phone number is (313) 841-1612.

What is Covenant Community Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Covenant Community Care, Inc. accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Covenant Community Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant Community Care, Inc. was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.