Covenant Care, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH3586 Issued in AZ

Legal business name

COVENANT CARE, LLC

Practice address

6920 W Carson Rd
Laveen, AZ 85339-7028

Phone

(602) 486-3019

NPI assigned

Jun 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Evelyn Naoh-Mene

Title

Program Director

Phone

(602) 486-3019

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1144541293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397028",
            "telephone_number": "602-486-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 W CARSON RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397028",
            "telephone_number": "602-486-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "NAOH-MENE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-486-3019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copper Health Consults PLLC
• Copper Valley Integrated Health LLC (Copper Valley Integrated Home Health)
• Terry Cortez
• Cotton Field Assisting Living
• Covenant Behavioral Health Residential Facility.
• Teshonda Yvette Craven-Watkins, RN
• Robert Crawley
• Crescent Home Care LLC
• Larry D Croll, PHARMACIST
• Casey Crum, D.M.D

• Emotionally Disturbed Childrens' Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.