Covenant Home Health LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COVENANT HOME HEALTH LLC

Doing business as

Covenant Home Care

Practice address

11830 N. 19TH Ave
Suite 101 Pendleton
Phoenix, AZ 85029

Phone

(602) 443-5447

Fax

(602) 424-9447

NPI assigned

Oct 16, 2020

Organization subpart

No

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

Authorized official

Name

Kathi Condon

Title

Chief Financial Officer

Phone

(602) 443-5487

Specialties & licenses 1

Addresses

Other names 1

• Covenant Home Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1871191221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 N. 19TH AVE",
            "address_2": "SUITE 101 PENDLETON",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-443-5447",
            "fax_number": "602-424-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 N. 19TH AVE",
            "address_2": "SUITE 101 PENDLETON",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-443-5447",
            "fax_number": "602-424-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-443-5487"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "covenanthomehealtharizona@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11830 N. 19th Ave",
            "address_2": "Suite 101 Pendleton",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Covenant Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Ivonne Covarrubias
• Sidney Alicia Covarrubias, PA-C
• John Stephen Covell
• Michael Milotte Covell, MD
• Covenant Consumer Direct (Consumer Direct Covenant for MCOs)
• Erica Cover, MA, LMFT
• Felicia Danielle Cover, PSYD
• Caitlin Covert, OTD, OTR/L
• Patricia Covert
• Seth Covert, D.D.S.

• In Home Supportive Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.