Covenant Living West
Organization Active NPI Skilled Nursing Facility · Santa Barbara, CA
NPI 1467558692 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1467558692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- COVENANT LIVING WEST
- Practice address
- 2566 Treasure Dr
Santa Barbara, CA 93105-4148 - Phone
- (805) 687-0701
- Fax
- (805) 687-3386
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Malzahn
- Title
- Vice President of Health Services
- Phone
- (773) 878-4430
Owners & managing parties with NPI records 1
-
Jon P Aagaard, MD
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 5
Facilities with the same owner 16
Affiliated clinicians 10
-
Michael L Bernstein, M.D.
-
Christopher Erik Birch, M.D.
-
Todd A Fearer, MD
-
Barbara Ann Hrach, M.D.
-
Justin Hwang, DO
-
David A Mandel, M.D.
-
Alexander E Morf, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Samarkand Skilled Nursing Facility
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 21, 2000
- Medicare certification status
- Active
- Certified beds
- 63 · 56.6 residents per day on average
- Chain
- Covenant Living
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555762
- Legal name
- COVENANT LIVING WEST
- Doing business as
- SAMARKAND SKILLED NURSING FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 21, 2000
- Last certification
- Dec 19, 2024
- Beds
- 63
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- COVENANT LIVING
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 23, 1975 in CA
- Enrollment address
- 2550 Treasure Dr
Santa Barbara, CA 93105-4148 - Nursing home name
- SAMARKAND SKILLED NURSING FACILITY
- Affiliated entity
- COVENANT LIVING
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Marc E Espinosa |
Corporate Director |
Jul 1, 2013 | |
| Donald Hodgkinson |
Corporate Director |
Jul 1, 2013 | |
| Pamela Christensen |
Corporate Director |
Jul 1, 2013 | |
| Covenant Living Communities & Services |
5% Or Greater Direct Ownership Interest | Dec 23, 1975 | 100% |
| Operational/Managerial Control | Dec 23, 1975 | 100% | |
| Roger Oxendale |
Corporate Director |
Jul 1, 2017 | |
| Anne E Vining |
Corporate Director |
Jul 1, 2013 | |
| David Erickson |
Corporate Officer |
Jan 31, 2008 | |
| Marlene E Stante |
Corporate Director |
Jul 1, 2013 | |
| Terri Cunliffe |
Corporate Officer |
Mar 19, 2009 | |
| W-2 Managing Employee |
Mar 19, 2009 | ||
| Jon P Aagaard |
Corporate Director |
Jul 1, 2013 | |
| Mark C Eastburg |
Corporate Director |
Jul 1, 2013 | |
| Matt Manlove |
Corporate Director |
Jul 1, 2017 | |
| Jody Holt |
Corporate Officer |
Jun 2, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100325000211 | CA | Part a Provider - Skilled Nursing Facility | 3870634884 | Practice locations: Santa Barbara, CA |
National Provider Directory
- Tax ID family
- Brandel Manor
Locations
2566 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 687-0701
2550 Treasure Dr
#2
Santa Barbara, CA 93105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050000051 | CA | |
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
2566 Treasure Dr
Santa Barbara, CA 93105-4148
Mailing address
2550 Treasure Drive
Santa Barbara, CA 93105-4892
Phone (805) 687-0701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55762F | Medicaid | CA |
Other names
- Samarkand Skilled Nursing Facility
Other providers in Santa Barbara, CA
- Kennan Court
- Gilbere Coutouzis
- Lisa Couvillion
- Stephen S Couvillion
- Covenant Care California, LLC
- David Alan Cowan
- Cox Dental Corporation
- Hayley Cox
- John Thomas Cox
- Michael A Cox
All providers in Santa Barbara, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.