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COVENANT PLACE OF WAXAHACHIE
NPI 1831281609
Assisted Living Facility in Waxahachie, TX

Active since September 29, 2006
401 SOLON RD, WAXAHACHIE, TX 75165(972) 935-9363(972) 923-3289 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant Place Of Waxahachie NPPES

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

COVENANT PLACE OF WAXAHACHIE (NPI 1831281609) is a healthcare organization registered as an assisted living facility in Waxahachie, Texas and active in the NPI registry since September 2006. The organization lists Keith Johannessen, President & Coo, as its authorized official.

NPPES Registry Identity

NPI1831281609
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOVENANT PLACE OF WAXAHACHIE
Location Address401 SOLON RDWaxahachie, TX 75165-1328
Mailing Address14160 Dallas Pkwy, Suite 300Dallas, TX 75254-4319 · (972) 770-5600 · Fax (972) 770-5666
Phone(972) 935-9363
Fax(972) 923-3289
Organization SubpartNo
Authorized OfficialKeith JohannessenPresident & Coo · (972) 770-5600
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 8, 2012
✔ NPI 1831281609 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 TX · 117586
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.
401 SOLON RD, Waxahachie, TX 75165
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Other Identifiers 2

Medicaid001015630TX
Other001014421TX · Cba Contract #

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.

SH OPCO WAXAHACHIE LLC
Assisted Living Facility
401 SOLON RD
WAXAHACHIE, TX 75165
Ellis County (972) 923-9911
HP WAXAHACHIE OPCO, LLC
Assisted Living Facility
401 SOLON RD
WAXAHACHIE, TX 75165
Ellis County (972) 923-9911

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 Place Of Waxahachie's NPI number?

The NPI number for Covenant Place Of Waxahachie is 1831281609. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Covenant Place Of Waxahachie located?

Covenant Place Of Waxahachie is located at 401 Solon Rd, Waxahachie, TX 75165. The listed phone number is (972) 935-9363.

What is Covenant Place Of Waxahachie's specialty?

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

When was this NPI record last updated?

The NPPES record for Covenant Place Of Waxahachie was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.