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COVENANT VILLAGE
NPI 1871822825
Assisted Living Facility in Gastonia, NC

Active since December 21, 2009CLIA 34D1078140 · Waiver
1351 ROBINWOOD RD, GASTONIA, NC 28054(704) 867-2319(704) 867-4442 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant Village NPPES

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

COVENANT VILLAGE (NPI 1871822825) is a healthcare organization registered as an assisted living facility in Gastonia, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Judy Holcomb, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1871822825
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOVENANT VILLAGE
Location Address1351 ROBINWOOD RDGastonia, NC 28054-1693
Mailing Address1351 Robinwood RdGastonia, NC 28054-1693 · (704) 867-2319 · Fax (704) 867-4442
Phone(704) 867-2319
Fax(704) 867-4442
Organization SubpartNo
Authorized OfficialJudy HolcombDirector Of Nursing · (704) 867-2319
Enumeration DateDecember 21, 2009
✔ NPI 1871822825 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.
1351 ROBINWOOD RD, Gastonia, NC 28054
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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 34D1078140

Covenant Village · Gastonia, NC
Active · expires Jan 1, 2028
CLIA Number34D1078140
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorKevin T. Stewart
Laboratory Phone(704) 867-2319
Laboratory LocationCovenant Village1351 Robinwood Rd, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MR. SAMUEL MICHAEL STEWART P.T.A.
Physical Therapy Assistant
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
DR. JENNIFER WEATHERS ETHRIDGE PHARMD
Pharmacist
1351 ROBINWOOD RD, BOX B-212
GASTONIA, NC 28054
Gaston County (704) 865-9480
MRS. GINA SHAFRAN WOODARD OTA/L
Occupational Therapy Assistant
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
CINDY HAGAN STEWART PTA
Physical Therapy Assistant
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
CASEY HUNTER REEP
Occupational Therapist
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
MR. DAVID DOUGLAS CONNER II PTA
Physical Therapy Assistant
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
JOSHUA JOHNSON PT, DPT
Physical Therapist
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319
P BRYAN ASKEW JR. COTA/L
Occupational Therapy Assistant
1351 ROBINWOOD RD
GASTONIA, NC 28054
Gaston County (704) 867-2319

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 Village's NPI number?

The NPI number for Covenant Village is 1871822825. It was assigned to this organization in the NPPES registry on December 21, 2009.

Where is Covenant Village located?

Covenant Village is located at 1351 Robinwood Rd, Gastonia, NC 28054. The listed phone number is (704) 867-2319.

What is Covenant Village's specialty?

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

Does Covenant Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1078140) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Covenant Village was last updated on December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.