Provider Demographics
NPI:1639733967
Name:COVINGTON HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:COVINGTON HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLEATHIA
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-785-0085
Mailing Address - Street 1:15064 CARROLLTON BLVD STE T
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314-3582
Mailing Address - Country:US
Mailing Address - Phone:757-785-0085
Mailing Address - Fax:
Practice Address - Street 1:15064 CARROLLTON BLVD STE T
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3582
Practice Address - Country:US
Practice Address - Phone:757-785-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health