COVENANT HOUSE OF CARE, LLC
NPI 1568234920
Intermediate Care Facility, Intellectual Disabilities in East Orange, NJ

NPI Status: Active since October 27, 2023

Contact Information

44 S MUNN AVE APT 9K
EAST ORANGE, NJ
ZIP 07018
Phone: (646) 651-9719

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  • Organization
  • Intermediate Care Facility, Intellectual...

About COVENANT HOUSE OF CARE, LLC

This page provides the complete NPI Profile along with additional information for Covenant House Of Care, Llc, a provider established in East Orange, New Jersey operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1568234920 assigned on October 2023. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Malineda Mandy Millionard Ms, Aba (Owner)

NPI
1568234920
Provider Name
COVENANT HOUSE OF CARE, LLC
Entity Type
Organization
Location Address
44 S MUNN AVE APT 9K EAST ORANGE, NJ 07018
Location Phone
(646) 651-9719
Mailing Address
44 S MUNN AVE APT 9K EAST ORANGE, NJ 07018
Mailing Phone
(646) 651-9719
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2023
Last Update Date
10-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MALINEDA MANDY MILLIONARD MS, ABA

Authorized Official Title
OWNER
Authorized Official Phone
(646) 651-9719

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568234920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512843894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 4 + 3 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568234920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MS. MALINEDA MANDY MILLIONARD MS, ABA

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

44 S MUNN AVE APT 9K
EAST ORANGE, NJ
ZIP 07018

(646) 651-9719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568234920, enumerated as an "organization" on October 27, 2023.

The provider is located at 44 S MUNN AVE APT 9K EAST ORANGE, NJ 07018 and the phone number is (646) 651-9719.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.