Covenant Village Care Center
LBN: Covenant Living Of Florida, Inc.
Covenant Village Care Center is an health care organization with primary practice located at 9215 W Broward Blvd , Plantation FL 33324-2404. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Covenant Living Of Florida, Inc. can be contacted via phone (954) 472-2860, or through Malzahn, Elizabeth via phone (773) 878-4430.
Contact Information
Primary practice address
9215 W Broward Blvd
Plantation FL 33324-2404
Phone: (954) 472-2860
Fax: (954) 472-5934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF11080961 | Florida |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1083719751 |
|---|---|
| LBN Legal business name | Covenant Living Of Florida, Inc. |
| DBA Doing business as | Covenant Village Care Center |
| Authorized official | Malzahn, Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jan 27th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083719751 | NPPES |
| Florida | MEDICAID | 210188 |
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