COVENANT CARE, LLC
NPI 1144541293
Residential Treatment Facility, Emotionally Disturbed Children in Laveen, AZ
- Organization
- Residential Treatment Facility, Emotiona...
About COVENANT CARE, LLC
This page provides the complete NPI Profile along with additional information for Covenant Care, Llc, a provider established in Laveen, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1144541293 assigned on June 2010. The practitioner's primary taxonomy code is 322D00000X with license number BH3586 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ms. Evelyn Naoh-mene (Program Director)
- NPI
- 1144541293 Verify this NPI
- Provider Name
- COVENANT CARE, LLC
- Entity Type
- Organization
- Location Address
- 6920 W CARSON RD LAVEEN, AZ 85339
- Location Phone
- (602) 486-3019
- Mailing Address
- 6920 W CARSON RD LAVEEN, AZ 85339
- Mailing Phone
- (602) 486-3019
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2010
- Last Update Date
- 06-11-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- BH3586
- License State
- AZ
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LAVEEN, AZ 85339
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144541293, enumerated as an "organization" on June 11, 2010.
The provider is located at 6920 W CARSON RD LAVEEN, AZ 85339 and the phone number is (602) 486-3019.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.