# COVENANT HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295659902
- **Authorized official:** MR. VICTORY PAUL-IKHANA (ADMINISTRATOR)
- **Authorized official phone:** (571) 215-6166

## Contact information

- **Practice address:** 1419 NORTHGATE SQ UNIT 12, RESTON, VA 20190-3735
- **Practice address phone:** (571) 215-6166
- **Mailing address:** 1419 NORTHGATE SQ UNIT 12, RESTON, VA 20190-3735
- **Mailing address phone:** (571) 215-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026
