1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinic Center
  6. NPI Profile

COVENANT HOUSE MEDICAL CENTER
NPI 1528392008
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since September 30, 2009CLIA 39D0201579 · Microscopy
8125 STENTON AVE, PHILADELPHIA, PA 19150(215) 248-7560(215) 248-7564 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Covenant House Medical Center NPPES

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

COVENANT HOUSE MEDICAL CENTER (NPI 1528392008) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through April 13, 2028 and lists Susan Denise Stukes, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1528392008
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOVENANT HOUSE, INC
Location Address8125 STENTON AVEPhiladelphia, PA 19150-3530
Mailing Address8125 Stenton AvePhiladelphia, PA 19150-3530 · (215) 248-7560 · Fax (215) 248-7564
Phone(215) 248-7560
Fax(215) 248-7564
Organization SubpartNo
Authorized OfficialSusan Denise StukesChief Executive Officer · (215) 844-1020
Enumeration DateSeptember 30, 2009
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1528392008 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 PA · 032220
8125 STENTON AVE, Philadelphia, PA 19150
Open in Google Maps ↗

Other Names 1

Doing Business AsCovenant House Medical Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0201579

Covenant House Hlth Svcs · Philadelphia, PA
Active · expires Apr 13, 2028
CLIA Number39D0201579
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorDr. Juanita S. Burton
Laboratory Phone(215) 844-1020
Laboratory LocationCovenant House Hlth Svcs251 E Bringhurst Street, Philadelphia, PA 19144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

JOAN MUREEN ADDLEY DO
Family Medicine (Adolescent Medicine)
8125 STENTON AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 248-7560
MRS. JEANNIE M PEAKE BSN, MSN, CRNP
Nurse Practitioner (Adult Health)
8125 STENTON AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 248-7560
DR. PARVANEH RAVANDOOST M.D.
Family Medicine
8125 STENTON AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 248-7560

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 House, Inc's NPI number?

The NPI number for Covenant House, Inc is 1528392008. It was assigned to this organization in the NPPES registry on September 30, 2009. The provider is doing business as Covenant House Medical Center.

Where is Covenant House, Inc located?

Covenant House, Inc is located at 8125 Stenton Ave, Philadelphia, PA 19150. The listed phone number is (215) 248-7560.

What is Covenant House, Inc's specialty?

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

Does Covenant House, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0201579) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covenant House, Inc was last updated on December 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.