COVENANT ELDER HEALTH SERVICES & MANAGEMENT LLC
NPI 1679064323
Custodial Care Facility - Adult Care Home in Charlotte, NC

Q: What is Covenant Elder Health Services & Management LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since May 29, 2018

2116 SAM WILSON RD, CHARLOTTE, NC 28214(704) 995-6643 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Covenant Elder Health Services & Management Llc NPPES

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

COVENANT ELDER HEALTH SERVICES & MANAGEMENT LLC (NPI 1679064323) is a healthcare organization registered as an adult care home in Charlotte, North Carolina and active in the NPI registry since May 2018. The organization lists Hiep Pham, President, as its authorized official.

NPPES Registry Identity

NPI1679064323

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCOVENANT ELDER HEALTH SERVICES & MANAGEMENT LLC

Location Address2116 SAM WILSON RDCharlotte, NC 28214-9083

Mailing AddressPo Box 78967Charlotte, NC 28271-7045

Phone(704) 995-6643

Organization SubpartNo

Authorized OfficialHiep PhamPresident · (704) 995-6643

Enumeration DateMay 29, 2018

✔ NPI 1679064323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedRespite CareTaxonomy 385H00000X

2116 SAM WILSON RD, Charlotte, NC 28214

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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 Elder Health Services & Management LLC's NPI number?

The NPI number for Covenant Elder Health Services & Management LLC is 1679064323. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Covenant Elder Health Services & Management LLC located?

Covenant Elder Health Services & Management LLC is located at 2116 Sam Wilson Rd, Charlotte, NC 28214. The listed phone number is (704) 995-6643.

What is Covenant Elder Health Services & Management LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Covenant Elder Health Services & Management LLC was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.