COVENANT LIVING WEST (NPI# 1184021768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184021768 |
| Entity Type | Organization |
| Organization Name | COVENANT LIVING WEST |
| Other Organization Name | BRANDEL MANOR |
| Practice Address |
1801 N Olive Ave Turlock CA 95382-2568 |
| Mailing Address |
5700 Old Orchard Rd Suite 100 Skokie IL 60077-1036 |
| Practice Telephone | 2096675600 |
| Mailing Telephone | 7738784430 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MRS. ELIZABETH A MALZAHN (NATIONAL DIRECTOR OF HEALTHCARE) |
| Authorized Official Telephone | 7738784430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 055635 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1306281688 | 01 |
| Other Name | Type Code |
|---|---|
| Brandel Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205906989 | Covenant Living West | Skilled Nursing Facility | 2125 N Olive Ave, Turlock, CA 95382-1901 | 2006-11-09 |
| 1023190824 | Covenant Living West | Skilled Nursing Facility | 9107 Fortuna Dr, Mercer Island, WA 98040-3132 | 2006-10-20 |
| 1467558692 | Covenant Living West | Skilled Nursing Facility | 2566 Treasure Dr, Santa Barbara, CA 93105-4148 | 2006-09-15 |
| 1306281688 | Covenant Living West | Skilled Nursing Facility | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2013-05-01 |
| 1740346212 | Covenant Living West | Skilled Nursing Facility | 325 Kempton St, Spring Valley, CA 91977-5810 | 2006-12-29 |
| 1649375403 | Covenant Living West | Skilled Nursing Facility | 325 Kempton St, Spring Valley, CA 91977-5810 | 2006-09-14 |
| Street Address |
1801 N OLIVE AVE |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164514287 | Emanuel Medical Center, Inc. | Skilled Nursing Facility | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2006-09-28 |
| 1316546880 | Anika Dubois | Speech-Language Pathologist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2020-10-25 |
| 1952910135 | Navneet Kaur | Occupational Therapist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2020-07-23 |
| 1114567682 | Katelyn Richards | Physical Therapist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2020-01-13 |
| 1043781610 | Shannon Lousie Pennisi | Occupational Therapist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2018-12-07 |
| 1861970162 | Andrea Alcon | Physical Therapy Assistant | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2018-07-30 |
| 1942796420 | Samuel Spinelli | Physical Therapist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2018-07-07 |
| 1598257123 | Leslie Lynn Bank | Speech-Language Pathologist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2018-05-30 |
| 1023516689 | William Derek Williams | Physical Therapy Assistant | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2018-01-30 |
| 1396259206 | Dexter Roland Amend IIi | Physical Therapist | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2017-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| 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 |
|---|---|---|---|---|
| 1164563276 | Covenant Care California, LLC | Skilled Nursing Facility | 1111 E. Tuolumne Road, Turlock, CA 95382-1541 | 2007-02-09 |
| 1205906989 | Covenant Living West | Skilled Nursing Facility | 2125 N Olive Ave, Turlock, CA 95382-1901 | 2006-11-09 |
| 1164514287 | Emanuel Medical Center, Inc. | Skilled Nursing Facility | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2006-09-28 |
| 1699759803 | Mark One Corporation | Skilled Nursing Facility | 180 Starr Ave, Turlock, CA 95380-3323 | 2005-12-01 |
| 1801870019 | Mark One Corporation | Skilled Nursing Facility | 812 W Main Street, Turlock, CA 95380-4645 | 2005-12-01 |
| 1598112864 | Vista Del Sol Postacute Care | Skilled Nursing Facility | 180 Starr Ave, Turlock, CA 95380-3323 | 2016-05-17 |
| 1376926931 | Vista Del Sol Postacute Care | Skilled Nursing Facility | 812 W Main St, Turlock, CA 95380-4645 | 2015-07-01 |
| 1306281688 | Covenant Living West | Skilled Nursing Facility | 1801 N Olive Ave, Turlock, CA 95382-2568 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.