COVENANT LIVING OF FLORIDA, INC. (NPI# 1083719751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719751 |
| Entity Type | Organization |
| Organization Name | COVENANT LIVING OF FLORIDA, INC. |
| Other Organization Name | COVENANT VILLAGE CARE CENTER |
| Practice Address |
9215 W Broward Blvd Plantation FL 33324-2404 |
| Mailing Address |
9211 W Broward Blvd Plantation FL 33324-2401 |
| Practice Telephone | 9544722860 |
| Practice Fax Number | 9544725934 |
| Mailing Telephone | 9544722860 |
| Mailing Fax Number | 9544725934 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES) |
| Authorized Official Telephone | 7738784430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | SNF11080961 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 210188 | 05 |
| Other Name | Type Code |
|---|---|
| Covenant Village Care Center | Doing Business As Name - Organization |
| Street Address |
9215 W BROWARD BLVD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184153710 | Catherine Liebman | Occupational Therapist | 9215 W Broward Blvd, Plantation, FL 33324-2404 | 2017-06-07 |
| 1821526286 | German Quinones | Physical Therapy Assistant | 9215 W Broward Blvd, Plantation, FL 33324-2404 | 2017-05-30 |
| 1619404886 | Daniel Alexander Buchin | Occupational Therapy Assistant | 9215 W Broward Blvd, Plantation, FL 33324-2404 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487681656 | Plantation Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 4250 Nw Fifth Street, Plantation, FL 33317-2160 | 2006-06-26 |
| 1710933916 | Manor Care of Plantation Fl LLC | Skilled Nursing Facility | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2006-05-26 |
| 1114914165 | West Broward Group, L.L.C. (through 6/29/08) | Skilled Nursing Facility | 7751 W Broward Blvd, Plantation, FL 33324-2003 | 2005-10-04 |
| 1073007803 | 6931 W Sunrise Boulevard Operations, LLC | Skilled Nursing Facility | 6931 W Sunrise Blvd, Plantation, FL 33313 | 2018-06-15 |
| 1194273110 | Elsie Justilien | Skilled Nursing Facility | 8251 W Broward Blvd, Suite 103, Plantation, FL 33324-2703 | 2016-09-19 |
| 1710294020 | West Broward Acquisition I, LLC. | Skilled Nursing Facility | 7751 W Broward Blvd, Plantation, FL 33324-2003 | 2010-09-08 |
| 1437318839 | Wb Care Center LLC (effective 6/30/08) | Skilled Nursing Facility | 7751 W Broward Blvd, Plantation, FL 33324-2003 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.