Covenant House MRDD Services,LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

COVENANT HOUSE MRDD SERVICES,LLC

Practice address

479 Seymour Ave
Columbus, OH 43205-2566

Phone

(614) 309-0395

Fax

(614) 252-6787

NPI assigned

Jun 30, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Bob Henry Duckens Sr.

Title

C.E.O

Phone

(614) 561-0390

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1912824236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 SEYMOUR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052566",
            "telephone_number": "614-309-0395",
            "fax_number": "614-252-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SEYMOUR AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052566",
            "telephone_number": "614-309-0395",
            "fax_number": "614-252-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOUSE MRDD SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "DUCKENS",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "614-561-0390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Columbus, OH
• Providers in Columbus, OH by specialty
• Attendant Care Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.