Provider Demographics
NPI:1215808522
Name:COVENANT FOUNDATION
Entity type:Organization
Organization Name:COVENANT FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-871-1150
Mailing Address - Street 1:7001 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-7213
Mailing Address - Country:US
Mailing Address - Phone:661-871-1150
Mailing Address - Fax:661-871-1249
Practice Address - Street 1:7001 AUBURN ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-7213
Practice Address - Country:US
Practice Address - Phone:661-871-1150
Practice Address - Fax:661-871-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty