# COENANT HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COVENANT HOME HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740279330
- **Authorized official:** MR. SAM MATANI (CONTROLLER)
- **Authorized official phone:** (806) 725-8691

## Contact information

- **Practice address:** 4709 66TH ST, LUBBOCK, TX 79414-4841
- **Practice address phone:** (806) 725-8400
- **Practice address fax:** (806) 725-8463
- **Mailing address:** 4709 66TH ST, LUBBOCK, TX 79414-4841
- **Mailing address phone:** (806) 725-8400
- **Mailing address fax:** (806) 725-8463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 006945 | TX | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 08/04/2008