COVINGTON RESIDENTIAL, LLC
NPI 1871540930
Assisted Living Facility in Covington, TN

Active since May 27, 2006CLIA 44D0943185 · Waiver
791 BERT JOHNSTON AVE, COVINGTON, TN 38019(901) 475-9020 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, Mar 10, 2026, Aug 22, 2020 (3 updates tracked since 2020).

About Covington Residential, Llc NPPES

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

COVINGTON RESIDENTIAL, LLC (NPI 1871540930), doing business as Parkway Cove Assisted Living, is a healthcare organization registered as an assisted living facility in Covington, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Kyle Timothy Schade, Manager, as its authorized official.

NPPES Registry Identity

NPI1871540930
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOVINGTON RESIDENTIAL, LLC
Location Address791 BERT JOHNSTON AVECovington, TN 38019-2414
Mailing Address791 Bert Johnston AveCovington, TN 38019-2414
Organization SubpartNo
Authorized OfficialKyle Timothy SchadeManager · (573) 471-1113
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1871540930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
791 BERT JOHNSTON AVE, Covington, TN 38019

Other Names 2

Doing Business AsParkway Cove Assisted Living
Doing Business AsParkway Cove Memory Care

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 44D0943185

Covington Residential LLC Dba Parkway Cove Assisted Living · Covington, TN
Active · expires Oct 26, 2026
CLIA Number44D0943185
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDiana L. Wood
Laboratory Phone(901) 475-9020
Laboratory LocationCovington Residential LLC Dba Parkway Cove Assisted Living791 Bert Johnston Ave, Covington, TN 38019
CLIA data matches this NPI record on: Address Name Phone
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 Covington Residential, LLC's NPI number?

The NPI number for Covington Residential, LLC is 1871540930. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Parkway Cove Assisted Living and Parkway Cove Memory Care.

Where is Covington Residential, LLC located?

Covington Residential, LLC is located at 791 Bert Johnston Ave, Covington, TN 38019. The listed phone number is (901) 475-9020.

What is Covington Residential, LLC's specialty?

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

Does Covington Residential, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0943185) is associated with this NPI, valid through October 26, 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 Covington Residential, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.