Provider Demographics
NPI:1003702424
Name:COVENANT HEALTH INC
Entity type:Organization
Organization Name:COVENANT HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AYODELE
Authorized Official - Middle Name:MORENIKE
Authorized Official - Last Name:TEKOBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:678-585-4962
Mailing Address - Street 1:1795 PRESIDENTIAL CIR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-5644
Mailing Address - Country:US
Mailing Address - Phone:678-585-4962
Mailing Address - Fax:470-545-2234
Practice Address - Street 1:1795 PRESIDENTIAL CIR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5644
Practice Address - Country:US
Practice Address - Phone:678-585-4962
Practice Address - Fax:470-545-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy