# COVENANT HOME HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covenant Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720645856
- **Authorized official:** EMMANUEL COLE (ADMINISTRATOR)
- **Authorized official phone:** (918) 249-0221

## Contact information

- **Practice address:** 1115 S ASPEN AVE STE F, BROKEN ARROW, OK 74012-4859
- **Practice address phone:** (918) 249-0221
- **Practice address fax:** (918) 895-0050
- **Mailing address:** 1115 S ASPEN AVE STE F, BROKEN ARROW, OK 74012-4859
- **Mailing address phone:** (918) 249-0221
- **Mailing address fax:** (918) 895-0050

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 05/23/2019