Organization Active NPI

Covenant Consumer Direct, LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1821427923
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.