COVENANT HOME HEALTH LLC (NPI# 1871191221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871191221 |
| Entity Type | Organization |
| Organization Name | COVENANT HOME HEALTH LLC |
| Practice Address |
11830 N. 19th Ave Suite 101 Pendleton Phoenix AZ 85029 |
| Practice Telephone | 6024435447 |
| Practice Fax Number | 6024249447 |
| Mailing Telephone | 6024435447 |
| Mailing Fax Number | 6024249447 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | KATHI CONDON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6024435487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Covenant Home Care | Doing Business As Name - Organization |
| Street Address |
11830 N. 19TH AVE SUITE 101 PENDLETON |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| 1851777643 | Total Wellness Acupuncture LLC | Acupuncturist | 3201 W. Peoria Ave, Suite # C-607, Phoenix, AZ 85029 | 2015-08-04 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921278 | Md Triage | In Home Supportive Care | 20235 N Cave Creek Rd Ste 104-214, Phoenix, AZ 85024-4424 | 2020-10-28 |
| 1801408240 | Hope Light Care, LLC | In Home Supportive Care | 9963 W Monterosa Ave, Phoenix, AZ 85037-2510 | 2020-08-18 |
| 1124637228 | Western Care Inc | In Home Supportive Care | 3123 W Pleasant Ln, Phoenix, AZ 85041-5237 | 2020-07-24 |
| 1427672484 | Carestory Corp | In Home Supportive Care | 2929 N 44th St Ste 340, Phoenix, AZ 85018-7241 | 2020-06-04 |
| 1811510068 | Best Homecare Solutions, LLC | In Home Supportive Care | 20838 N 15th Ave, Phoenix, AZ 85027-3642 | 2020-05-22 |
| 1720608060 | When The Candles Cost More Than The Cake | In Home Supportive Care | 522 N Central Ave # 831, Phoenix, AZ 85004-2185 | 2020-04-16 |
| 1689209116 | Angelique Mukunzi Kamagaju | In Home Supportive Care | 7932 W Hilton Ave, Phoenix, AZ 85043-7418 | 2020-03-04 |
| 1386278109 | Jaime Koger | In Home Supportive Care | 14040 N Cave Creek Rd Ste 209, Phoenix, AZ 85022-6179 | 2020-03-02 |
| 1801426671 | Beyond Home Care Services LLC | In Home Supportive Care | 2942 N 24th St Ste 204, Phoenix, AZ 85016-7850 | 2020-01-21 |
| 1518507540 | Wee Shine LLC | In Home Supportive Care | 11225 N 28th Dr Ste D115m, Phoenix, AZ 85029-5609 | 2020-01-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.