Covenant Consumer Direct

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COVENANT CONSUMER DIRECT

Doing business as

Consumer Direct Covenant for MCOs

Practice address

3033 N. 44TH Street
Phoenix, AZ 85018-7228

Phone

(480) 354-5829

Fax

(877) 398-7967

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ben Bledsoe

Title

President/Ceo

Phone

(406) 532-2001

Specialties & licenses 2

Addresses

Other names 1

• Consumer Direct Covenant for MCOs Doing business as

Tax ID family

Consumer Direct Covenant for McOs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant Consumer Direct, LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
  • NPI 1821427923
  NPD tax ID

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1649511056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONSUMER DIRECT WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085037",
            "telephone_number": "406-539-1900",
            "fax_number": "406-532-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N. 44TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187228",
            "telephone_number": "480-354-5829",
            "fax_number": "877-398-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CONSUMER DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-532-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consumer Direct Covenant for MCOs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Edith Covarrubias Correa
• Angela Ivonne Covarrubias
• Sidney Alicia Covarrubias, PA-C
• John Stephen Covell
• Michael Milotte Covell, MD
• Covenant Home Health LLC (Covenant Home Care)
• Erica Cover, MA, LMFT
• Felicia Danielle Cover, PSYD
• Caitlin Covert, OTD, OTR/L
• Patricia Covert

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.