COVENANT BEHAVIORAL HEALTH RESIDENTIAL FACILITY.
NPI 1699523977
Assisted Living Facility - Assisted Living, Mental Illness in Laveen, AZ

Active since May 10, 2024
5322 W SHUMWAY FARM RD, LAVEEN, AZ 85339(623) 330-7509 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, May 10, 2024 (2 updates tracked since 2024).

About Covenant Behavioral Health Residential Facility. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT BEHAVIORAL HEALTH RESIDENTIAL FACILITY. (NPI 1699523977) is a healthcare organization registered as an assisted living, mental illness in Laveen, Arizona and active in the NPI registry since May 2024. The organization lists Adane Haile Nigani, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699523977
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCOVENANT BEHAVIORAL HEALTH RESIDENTIAL FACILITY.
Location Address5322 W SHUMWAY FARM RDLaveen, AZ 85339-6925
Mailing Address5322 W Shumway Farm RdLaveen, AZ 85339-6925 · (623) 330-7509
Organization SubpartNo
Authorized OfficialAdane Haile NiganiAdministrator · (623) 330-7509
Enumeration DateMay 10, 2024
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1699523977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
5322 W SHUMWAY FARM RD, Laveen, AZ 85339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Behavioral Health Residential Facility.'s NPI number?

The NPI number for Covenant Behavioral Health Residential Facility. is 1699523977. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Covenant Behavioral Health Residential Facility. located?

Covenant Behavioral Health Residential Facility. is located at 5322 W Shumway Farm Rd, Laveen, AZ 85339. The listed phone number is (623) 330-7509.

What is Covenant Behavioral Health Residential Facility.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Covenant Behavioral Health Residential Facility. was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.