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COVENANT HOUSE WELLNESS CLINIC
NPI 1821589615
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since May 29, 2018
2385 W CHELTENHAM AVE., PHILADELPHIA, PA 19150(215) 877-7300(215) 844-1020 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant House Wellness Clinic NPPES

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

COVENANT HOUSE WELLNESS CLINIC (NPI 1821589615) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since May 2018. The organization lists Carolyn Richardson, Director, Reimbursement Services, as its authorized official.

NPPES Registry Identity

NPI1821589615
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOVENANT HOUSE, INC
Location Address2385 W CHELTENHAM AVE.Philadelphia, PA 19150
Mailing Address2385 W Cheltenham Ave.Philadelphia, PA 19150 · (215) 877-7300 · Fax (215) 844-1020
Phone(215) 877-7300
Fax(215) 844-1020
Organization SubpartNo
Authorized OfficialCarolyn RichardsonDirector, Reimbursement Services · (215) 844-1020
Enumeration DateMay 29, 2018
✔ NPI 1821589615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in PA · 032220
2385 W CHELTENHAM AVE., Philadelphia, PA 19150
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Other Names 1

Doing Business AsCovenant House Wellness Clinic

Other Identifiers 1

Medicaid1007564460003PA

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 1821589615. It was assigned to this organization in the NPPES registry on May 29, 2018. The provider is doing business as Covenant House Wellness Clinic.

Where is Covenant House, Inc located?

Covenant House, Inc is located at 2385 W Cheltenham Ave., Philadelphia, PA 19150. The listed phone number is (215) 877-7300.

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.

When was this NPI record last updated?

The NPPES record for Covenant House, Inc 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.