Covenant House Of Care, LLC
Intermediate Care Facility, Intellectual Disabilities in East Orange, New Jersey
1568234920- Practice location
- 44 S Munn Ave Apt 9K, East Orange, NJ 07018-3683
- Phone
- 646-651-9719
- Fax
- —
- Last updated
- October 27, 2023
Covenant House Of Care, LLC is a healthcare organization based in East Orange, NJ. Covenant House Of Care, LLC practices in East Orange, NJ. The NPI Number for Covenant House Of Care, LLC is 1568234920. The current practice location address for Covenant House Of Care, LLC is 44 S Munn Ave Apt 9K, East Orange, NJ 07018-3683 and can be reached out via phone at 646-651-9719.
Provider Profile Details
- NPI Number
- 1568234920
- Provider Name
- Covenant House Of Care, LLC
- Provider Entity Type
- Organization
- Address
- 44 S Munn Ave Apt 9K, East Orange, NJ 07018-3683
- Phone Number
- 646-651-9719
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Malineda Mandy Millionard, MS, ABA · Owner · 646-651-9719
- Other Names
- Malineda Mandy Millionard (Doing Business As)
- Provider Enumeration Date
- October 27, 2023
- Last Update Date
- October 27, 2023
- Certification Date
- October 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 S Munn Ave Apt 9K
East Orange, NJ 07018-3683 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3683
- Phone Number
- 646-651-9719
Provider Business Mailing Address Details
- Address
- 44 S Munn Ave Apt 9K
East Orange, NJ 07018-3683 - City
- East Orange
- State
- NJ
- Zip
- 07018-3683
- Phone Number
- 646-651-9719
License Information
- Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Covenant House Of Care, LLC?
The NPI number of Covenant House Of Care, LLC is 1568234920. It was assigned on October 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Covenant House Of Care, LLC?
Covenant House Of Care, LLC is registered under the primary taxonomy Intermediate Care Facility, Intellectual Disabilities (code 315P00000X).
Where does Covenant House Of Care, LLC practice?
The practice location is 44 S Munn Ave Apt 9K, East Orange, NJ 07018-3683. The office can be reached at 646-651-9719 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568234920 directly on the NPPES registry website.