Active NPI
Covenant Home Health LLC
- Home Health Agency
- Garland, TX
National Provider Identifier
1467098079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COVENANT HOME HEALTH LLC
- Practice address
- 4229 Glenhaven Dr
Garland, TX 75042-6120 - Phone
- (469) 209-3783
- Fax
- (972) 276-8759
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Maduka
- Title
- Owner
- Phone
- (469) 209-3783
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
4229 Glenhaven Dr
Garland, TX 75042-6120
Mailing address
4229 Glenhaven Dr
Garland, TX 75042-6120
Phone (469) 209-3783
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Administrator Registered Nurse
- Garland, TX
- NPI 1710509740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1467098079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 GLENHAVEN DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426120",
"telephone_number": "469-209-3783",
"fax_number": "972-276-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 GLENHAVEN DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426120",
"telephone_number": "469-209-3783",
"fax_number": "972-276-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "MADUKA",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-209-3783"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.