Active NPI
Covenant Consumer Direct, LLC
- In Home Supportive Care Agency
- Mesa, AZ
National Provider Identifier
1821427923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COVENANT CONSUMER DIRECT, LLC
- Practice address
- 10238 E. Hampton Avenue Suite 107
Mesa, AZ 85209 - Phone
- (520) 289-9797
- NPI assigned
- Nov 8, 2013
- Last updated
- Nov 8, 2013
- 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
- Verdina Chaudhry
- Title
- Regional Director
- Phone
- (520) 289-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
10238 E. Hampton Avenue Suite 107
Mesa, AZ 85209
Mailing address
50 N. Alvernon Way
Tucson, AZ 85711
Phone (520) 289-9797
National Provider Directory
National Provider Directory- Tax ID family
- Consumer Direct Covenant for McOs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Consumer Direct Covenant for MCOs
- Home Health Agency
- Phoenix, AZ
- NPI 1649511056
Locations
10238 E Hampton Ave
Ste 107
Mesa, AZ 85209
Phone (480) 354-5829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1821427923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N. ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-289-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E. HAMPTON AVENUE SUITE 107",
"city": "MESA",
"state": "AZ",
"postal_code": "85209",
"telephone_number": "520-289-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT CONSUMER DIRECT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "VERDINA",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "520-289-9797"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.