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COVENANT CARE SERVICES LLC
NPI 1720419641
Assisted Living Facility - Assisted Living, Mental Illness in Greensboro, NC

Active since December 02, 2013
1208 SLOAN ST, GREENSBORO, NC 27401(336) 339-9788 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Care Services Llc NPPES

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

COVENANT CARE SERVICES LLC (NPI 1720419641) is a healthcare organization registered as an assisted living, mental illness in Greensboro, North Carolina and active in the NPI registry since December 2013. The organization lists Blondell P Simpson, Owner/ Director, as its authorized official.

NPPES Registry Identity

NPI1720419641
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCOVENANT CARE SERVICES LLC
Location Address1208 SLOAN STGreensboro, NC 27401-3442
Mailing Address1208 Sloan StGreensboro, NC 27401-3442 · (336) 542-6396 · Fax (336) 694-1675
Phone(336) 339-9788
Organization SubpartNo
Authorized OfficialBlondell P SimpsonOwner/ Director · (336) 542-6396
Enumeration DateDecember 2, 2013
Last NPPES UpdateAugust 28, 2015
✔ NPI 1720419641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in NC · MHL 041 1088
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1208 SLOAN ST, Greensboro, NC 27401
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Other Providers at the Same Location NPPES 2

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

G & D RESIDENTIAL SERVICES
Community Based Residential Treatment Facility, Mental Illness
1208 SLOAN ST
GREENSBORO, NC 27401
Guilford County (336) 254-6770
G & D RESIDENTIAL SERVICES, LLC
Community Based Residential Treatment Facility, Mental Illness
1208 SLOAN ST
GREENSBORO, NC 27401
Guilford County (336) 254-6770

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 Care Services LLC's NPI number?

The NPI number for Covenant Care Services LLC is 1720419641. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Covenant Care Services LLC located?

Covenant Care Services LLC is located at 1208 Sloan St, Greensboro, NC 27401. The listed phone number is (336) 339-9788.

What is Covenant Care Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Covenant Care Services LLC was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.