# COVENANT HOME HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1467098079
- **Authorized official:** BENJAMIN MADUKA (OWNER)
- **Authorized official phone:** (469) 209-3783

## Contact information

- **Practice address:** 4229 GLENHAVEN DR, GARLAND, TX 75042-6120
- **Practice address phone:** (469) 209-3783
- **Practice address fax:** (972) 276-8759
- **Mailing address:** 4229 GLENHAVEN DR, GARLAND, TX 75042-6120
- **Mailing address phone:** (469) 209-3783
- **Mailing address fax:** (972) 276-8759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 04/29/2022