MEDICARE: COVENANT COMMUNITY PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407051444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVENANT COMMUNITY PARTNERS LLC

Provider Business Mailing Address
First Line	:	1803 CHAPEL HILL RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-1175
Country	:	US
Telephone Number	:	919-401-8000
Fax Number	:	919-401-8005

Provider Business Practice Location Address
First Line	:	4000 WAKE FOREST RD
Second Line	:	SUITE 114
City	:	RALEIGH
State	:	NC
Zip	:	27609-6879
Country	:	US
Telephone Number	:	919-876-8113
Fax Number	:	919-876-8114

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. YVETTE JOY MUNROE
Credential	:	BA
Telephone Number	:	919-475-9723

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	07/27/2015

Similar Medicare Providers

1871659706 — EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Practice Location Address:

4000 WAKE FOREST RD , STE 200
RALEIGH, NC
27609-6879

Practice Phone: 919-861-1600
Practice Fax: 919-861-1637

1124185657 — EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Practice Location Address:

4000 WAKE FOREST RD , STE 200
RALEIGH, NC
27609-6879

Practice Phone: 919-861-1600
Practice Fax: 919-861-1637

1548314271 — EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Practice Location Address:

4000 WAKE FOREST RD , STE 200
RALEIGH, NC
27609-6879

Practice Phone: 919-861-1600
Practice Fax:

1841336021 — TRIUMPH LLC
Practice Location Address:

4000 WAKE FOREST RD , SUITE 200
RALEIGH, NC
27609-6879

Practice Phone: 919-852-5352
Practice Fax: 919-852-5323

1285920496 — ZANE STEPHEN GOODING D.O.
Practice Location Address:

4000 WAKE FOREST RD
RALEIGH, NC
27609-6879

Practice Phone: 919-865-8710
Practice Fax:

1881946937 — KRISTEN MARIE KAVERMAN LMFT
Practice Location Address:

4000 WAKE FOREST RD , SUITE 200
RALEIGH, NC
27609-6879

Practice Phone: 919-852-5352
Practice Fax: 919-852-5323

Directions to “COVENANT COMMUNITY PARTNERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.