Covenant Shores Health Center

LBN: Covenant Living West
Covenant Shores Health Center is an health care organization with primary practice located at 9107 Fortuna Dr , Mercer Island WA 98040-3132. 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 West can be contacted via phone (206) 268-3000, or through Malzahn, Elizabeth via phone (773) 878-4430.

Contact Information

Primary practice address
9107 Fortuna Dr Mercer Island WA 98040-3132
Phone: (206) 268-3000
Fax: (206) 236-1438
Website:
Map and Directions
Authorized official contact:
Name: Malzahn, Elizabeth
Phone: (773) 878-4430

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1231 Washington

Profile Details

NPI number 1023190824
LBN Legal business name Covenant Living West
DBA Doing business as Covenant Shores Health Center
Authorized official Malzahn, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 30th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023190824 NPPES
Washington MEDICAID 4112314

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