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Ark Covernant — NPI 1437862695, Maricopa, AZ | NPI Central

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Ark Covernant

NPI 1437862695 · PACE Provider Organization · Maricopa, AZ

Provider details

NPI number: 1437862695
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Organization subpart: No
Authorized official: Ngwi Etiendem, RN(480) 667-8101

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000X
Agencies

Practice location

45702 W Starlight Dr

Maricopa, AZ 85139-6656

Phone: (480) 667-8101

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

44202 W Granite Dr

Maricopa, AZ 85139-8868

Other names (DBA / former)

Doing business as: Ark Covernant LLC (behavioral Residential Home)

Additional practice locations (1)

44202 W Granite Dr
Maricopa, AZ 85139-8868
Phone: (480) 667-8101

Registry dates

Enumerated: 2023-01-03
Last updated: 2023-01-03
Certified: 2022-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.