Covenant House Inc
NPI 1669177911 · Pediatrics Physician · Philadelphia, PA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Covenant House Inc is a Pediatrics Physician organization in Philadelphia, PA (NPI 1669177911).
Provider details
- NPI number
- 1669177911
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Covenant House Inc
- Organization subpart
- Yes
- Authorized official
- Susan Stukes, Chief Executive Officer(215) 844-1020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tabor Kids Pediatric Mini Clinic
- Doing business as
- Tabor Kids Pediatric Mini Clinic
Registry dates
- Enumerated
- 2023-04-04
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Covenant House Inc's NPI number?
- Covenant House Inc's National Provider Identifier (NPI) is 1669177911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Covenant House Inc?
- Covenant House Inc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Covenant House Inc located?
- Covenant House Inc's practice location on file with NPPES is 57 E Armat St, Philadelphia, PA 19144-2201.
- What is Covenant House Inc's phone number?
- The practice phone number listed in the NPPES registry for Covenant House Inc is (215) 844-1020.
- Does Covenant House Inc accept Medicare?
- Covenant House Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Covenant House Inc?
- The authorized official listed on Covenant House Inc's NPPES record is Susan Stukes, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Covenant House Inc's NPI active?
- Yes — Covenant House Inc's NPI (1669177911) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.