Covenant Place Of Abilene in Dallas - Assisted Living Facility

Covenant Place Of Abilene - NPI 1356433189

Covenant Place Of Abilene is a Assisted Living Facility in Dallas, Texas. Covenant Place Of Abilene practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Covenant Place Of Abilene is 1356433189. The last update date is 2008-06-18.

Covenant Place Of Abilene's current location address is 14160 Dallas Pkwy, Dallas, Texas. You can contact this provider via phone number 9727705600 and fax number 9727705666. The mailing address for Covenant Place Of Abilene is 14160 Dallas Pkwy, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Covenant Place Of Abilene
Address 14160 Dallas Pkwy, Dallas, Texas
Phone Number 9727705600
Fax Number 9727705666
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Johannessen Keith
Telephone Number 9727705600

NPI Number Detail

NPI Number 1356433189
Provider Enumeration Date 2006-09-29
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 14160 Dallas Pkwy
City Dallas
State Texas (TX)
Post Code 752544319
Phone Number 9727705600
Fax Number 9727705666

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 117839
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1014103 TX TEXAS CBA CONTRACT #

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FAQs about Covenant Place Of Abilene

What is the unique identifier code issued to Covenant Place Of Abilene by the Centers for Medicare & Medicaid Services (CMS)?

The Covenant Place Of Abilene has been assigned the NPI (National Provider Identifier) 1356433189. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Covenant Place Of Abilene's facilities are geographically located?

The facilities of Covenant Place Of Abilene are physically situated at the following location: 14160 Dallas Pkwy, Dallas, TX, 752544319.

What is Covenant Place Of Abilene's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Covenant Place Of Abilene is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.

On what date did the Covenant Place Of Abilene receive its 1356433189 assignment from the Centers for Medicare & Medicaid Services?

The Covenant Place Of Abilene was assigned its 1356433189 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the Covenant Place Of Abilene's information last updated?

The Covenant Place Of Abilene's information was last updated on 2008-06-18.

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