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COVENTRY HOUSE OF ZEBULON
NPI 1689722944
Assisted Living Facility in Zebulon, NC

Active since January 05, 2007CLIA 34D2017666 · Waiver
1225 W GANNON AVE, ZEBULON, NC 27597(919) 269-7762 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coventry House Of Zebulon NPPES

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

COVENTRY HOUSE OF ZEBULON (NPI 1689722944) is a healthcare organization registered as an assisted living facility in Zebulon, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Ravonda Tart, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689722944
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOVENTRY HOUSE OF ZEBULON
Location Address1225 W GANNON AVEZebulon, NC 27597-8838
Mailing Address1225 W Gannon Ave, Po Box 888Zebulon, NC 27597-8838
Phone(919) 269-7762
Organization SubpartNo
Authorized OfficialRavonda TartExecutive Director · (919) 269-7762
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1689722944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-092-115
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1225 W GANNON AVE, Zebulon, NC 27597
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Other Identifiers 1

Other7805473NC · Provider Number

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 of Waiver 34D2017666

Coventry House Of Zebulon · Zebulon, NC
Active · expires Sep 28, 2026
CLIA Number34D2017666
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorWanda J. Davis
Laboratory Phone(919) 210-6151
Laboratory LocationCoventry House Of Zebulon1205 W Gannon Avenue, Zebulon, NC 27597
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Coventry House Of Zebulon's NPI number?

The NPI number for Coventry House Of Zebulon is 1689722944. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Coventry House Of Zebulon located?

Coventry House Of Zebulon is located at 1225 W Gannon Ave, Zebulon, NC 27597. The listed phone number is (919) 269-7762.

What is Coventry House Of Zebulon's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Coventry House Of Zebulon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2017666) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coventry House Of Zebulon was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.