Covenant Behavioral Health Residential Facility.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

COVENANT BEHAVIORAL HEALTH RESIDENTIAL FACILITY.

Practice address

5322 W Shumway Farm Rd
Laveen, AZ 85339-6925

Phone

(623) 330-7509

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Adane Haile Nigani, BHPP

Title

Administrator

Phone

(623) 330-7509

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1699523977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 W SHUMWAY FARM RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396925",
            "telephone_number": "623-330-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 W SHUMWAY FARM RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396925",
            "telephone_number": "623-330-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT BEHAVIORAL HEALTH RESIDENTIAL FACILITY.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "NIGANI",
        "authorized_official_first_name": "ADANE",
        "authorized_official_middle_name": "HAILE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-330-7509",
        "authorized_official_credential": "BHPP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copper Cactus Behavioral Health LC
• Copper Health Consults PLLC
• Copper Valley Integrated Health LLC
• Terry Cortez
• Cotton Field Assisting Living
• Covenant Care, LLC
• Teshonda Yvette Craven-Watkins, RN
• Robert Crawley
• Crescent Home Care LLC
• Larry D Croll, PHARMACIST

• Assisted Living Facility (Mental Illness) in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.