Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

COVENANT HOUSE MRDD SERVICES,LLC
NPI 1912824236
Technician - Attendant Care Provider in Columbus, OH

Active since June 30, 2026
479 SEYMOUR AVE, COLUMBUS, OH 43205(614) 309-0395(614) 252-6787 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Covenant House Mrdd Services,llc NPPES

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

COVENANT HOUSE MRDD SERVICES,LLC (NPI 1912824236) is a healthcare organization registered as an attendant care provider in Columbus, Ohio and active in the NPI registry since June 2026. The organization lists Bob Henry Duckens, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1912824236
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameCOVENANT HOUSE MRDD SERVICES,LLC
Location Address479 SEYMOUR AVEColumbus, OH 43205-2566
Mailing Address479 Seymour AveColumbus, OH 43205-2566 · (614) 309-0395 · Fax (614) 252-6787
Fax(614) 252-6787
Organization SubpartNo
Authorized OfficialBob Henry DuckensC.e.o · (614) 561-0390
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1912824236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

479 SEYMOUR AVE, Columbus, OH 43205

Other Identifiers 1

Medicaid253Z00000XOH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
479 SEYMOUR AVE
COLUMBUS, OH 43205
Community/Behavioral Health
479 SEYMOUR AVE
COLUMBUS, OH 43205

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 House Mrdd Services,llc's NPI number?

The NPI number for Covenant House Mrdd Services,llc is 1912824236. It was assigned to this organization in the NPPES registry on June 30, 2026.

Where is Covenant House Mrdd Services,llc located?

Covenant House Mrdd Services,llc is located at 479 Seymour Ave, Columbus, OH 43205. The listed phone number is (614) 309-0395.

What is Covenant House Mrdd Services,llc's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Covenant House Mrdd Services,llc was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.