Organization Name: | THE COVINGTON'S COVE ASSISTED LIVING CENTER LLC |
NPI Number: | 1043671704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRAVIS MONTEZ DELOACH (OWNER) |
Mailing Address: | 192 Mary Magdalene Church Rd Hattiesburg |
State: | MS US |
Postal Code: | 39401 |
Phone Number: | 6013108014 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3104A0630X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | Assisted Living, Behavioral Disturbances |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |