Covenant Care Senior Living, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

BO87158 Issued in KS

Legal business name

COVENANT CARE SENIOR LIVING, INC

Practice address

14422 E Twinlake Dr
Wichita, KS 67230-9517

Phone

(316) 665-9996

Fax

(316) 733-1771

NPI assigned

Dec 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glennis Svanda, RN

Title

Owner/Operator

Phone

(316) 665-9996

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1295070225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 E TWINLAKE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309517",
            "telephone_number": "316-665-9996",
            "fax_number": "316-733-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 E TWINLAKE DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309517",
            "telephone_number": "316-665-9996",
            "fax_number": "316-733-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE SENIOR LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "SVANDA",
        "authorized_official_first_name": "GLENNIS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-665-9996",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "BO87158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200653180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Cousins
• Carrie Dawn Couture, LSCSW
• Bertha Covarrubias
• Covenant Care Home Health Agency LLC
• Covenant Care Inc
• Teresa Marie Cowan-Christen, PSY.D, M.A.
• Carolyn Cowart, PT
• Sara Cowen, FNP-C
• Stephanie Lee Cowgill, APRN, NP-C
• Cox Chiropractic and Wellness Clinic LLC

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.