Covenant Living West

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COVENANT LIVING WEST

Doing business as

Brandel Manor

Practice address

1801 N Olive Ave
Turlock, CA 95382-2568

Phone

(209) 667-5600

NPI assigned

May 1, 2013

Last updated

Jul 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth A Malzahn

Title

National Director of Healthcare

Phone

(773) 878-4430

Specialties & licenses 1

Addresses

Other names 1

• Brandel Manor Doing business as

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1306281688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OLD ORCHARD RD",
            "address_2": "STE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771036",
            "telephone_number": "773-878-4430",
            "fax_number": "773-878-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822568",
            "telephone_number": "209-667-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LIVING WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MALZAHN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR OF HEALTHCARE",
        "authorized_official_telephone_number": "773-878-4430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandel Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandel Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant Care California, LLC (Turlock Nursing & Rehabilitation Center)
• Covenant Home Services (ConvenantCare at Home)
• Covenant Home Services (CovenantCare Hospice)
• Covenant Living West (Brandel Manor)
• Covenant Living West (Covenant Village of Turlock Care Center)
• Crawford Chiropractic Inc
• Isabel Crawford, PPS
• Kerry Lane Crawford, D.C.
• Stephanie Renee Creamer, SLP
• Creative Alternatives Inc. (Berkeley Cottage)

• Skilled Nursing Facility in Turlock, CA
• Providers in Turlock, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.