COVENANT HOUSE INC – NPI #1659462679
Clinic/Center

COVENANT HOUSE INC is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1659462679 to COVENANT HOUSE INC on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COVENANT HOUSE INC below.

NPI Profile for
COVENANT HOUSE INC

NPI Number
1659462679
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COVENANT HOUSE INC
Primary location
251 EAST BRINGHURST STREET
PHILADELPHIA, PA 19144
Phone: (215) 844-1020 Fax: (215) 844-2702
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN STUKES
CHIEF EXECUTIVE OFFICER
Phone: (561) 672-4789
Updated
Certification Date
Aug 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COVENANT HOUSE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherAMERI CHOICE0073796701
otherHEALTH PARTNERS00652
otherKEYSTONE MERCY HEALTH PLA1026476
medicaidPA1007564460003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
PA 032220

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.