COVENANT HOUSE INC
NPI 1659462679
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA
About Covenant House Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT HOUSE INC (NPI 1659462679) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan Denise Stukes, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Covenant House Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Covenant House Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1659462679. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Covenant House Inc located?
Covenant House Inc is located at 251 East Bringhurst Street, Philadelphia, PA 19144. The listed phone number is (215) 844-1020.
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.
Is Covenant House Inc enrolled in Medicare?
Yes. Covenant House Inc is registered in the Medicare PECOS enrollment system.
When is Covenant House Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Covenant House Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Covenant House Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (3) and Pediatric Medicine (2). Of these, 4 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Covenant House Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and DentaQuest list Covenant House 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 House Inc was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Covenant House Inc · NPI 1659462679
Federally Qualified Health Center (FQHC) organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1659462679 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Susan Stukes, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 251 EAST BRINGHURST STREET, Philadelphia, PA 19144
- **Phone:** (215) 844-1020 · **Fax:** (215) 844-2702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (3), Pediatric Medicine (2); 4 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2025
- **Other identifiers:** Other 0073796701; Other 00652; Medicaid 1007564460003 (PA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1659462679) · Data from the CMS NPPES public registry.