Covenant Place Of Waxahachie

LBN: Covenant Place Of Waxahachie
Covenant Place Of Waxahachie is an health care organization with primary practice located at 401 Solon Rd , Waxahachie TX 75165-1328. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Covenant Place Of Waxahachie can be contacted via phone (972) 935-9363, or through Johannessen, Keith via phone (972) 770-5600.

Contact Information

Primary practice address
401 Solon Rd Waxahachie TX 75165-1328
Phone: (972) 935-9363
Fax: (972) 923-3289
Website:
Map and Directions
Authorized official contact:
Name: Johannessen, Keith
Phone: (972) 770-5600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 117586 Texas

Profile Details

NPI number 1831281609
LBN Legal business name Covenant Place Of Waxahachie
DBA Doing business as
Authorized official Johannessen, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Mar 8th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831281609 NPPES
Texas Other 001014421 CBA CONTRACT #
Texas MEDICAID 001015630 CBA CONTRACT #

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