# COVENANT HOME SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CovenantCare at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679794143
- **Authorized official:** MS. ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
- **Authorized official phone:** (773) 878-4430

## Contact information

- **Practice address:** 3755 EAST MAIN STREET, SUITE 165, ST CHARLES, IL 60174
- **Practice address phone:** (630) 845-0680
- **Practice address fax:** (630) 845-0685
- **Mailing address:** 3755 E MAIN ST STE 165, ST CHARLES, IL 60174-2409
- **Mailing address phone:** (630) 845-0680
- **Mailing address fax:** (630) 845-0685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011067 | IL | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 07/06/2016