Covenant Homecare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COVENANT HOMECARE LLC

Practice address

12517 W Bloomfield Rd
El Mirage, AZ 85335-5213

Phone

(623) 277-9791

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COVENANT HOMECARE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Augustine F. Bundor, CEO

Title

Ceo

Phone

(623) 277-9791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1477450492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12517 W BLOOMFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355213",
            "telephone_number": "623-277-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12517 W BLOOMFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355213",
            "telephone_number": "623-277-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT HOMECARE LLC",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BUNDOR",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-277-9791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.