NPIMap

Organization Active NPI

Covenant Living of Keene

  • Skilled Nursing Facility
  • Keene, NH
National Provider Identifier
1578211686
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COVENANT LIVING OF KEENE
Practice address
100 Wyman Rd
Keene, NH 03431-5029
Phone
(603) 283-5150
NPI assigned
Mar 17, 2022
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Elizabeth A Malzahn
Title
VP of Reimbursement
Phone
(773) 878-4430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

100 Wyman Rd
Keene, NH 03431-5029

Mailing address

5700 Old Orchard Rd
Skokie, IL 60077-1036
Phone (773) 878-4430

Other identifiers 1

IdentifierTypeStateIssuer
04350OtherNHANNUAL NURSING HOME LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eamclaren@covliving.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220905000226 NH Part A Provider - Skilled Nursing Facility 3072997303 Practice locations: Keene, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578211686. Details of each certification follow.

Skilled nursing facility certification: CCN 305103

Legal name
COVENANT LIVING OF KEENE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 23, 2023
Last certification
Jun 11, 2024
Beds
20
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Covenant Living Communities and Services
Organization structure
CorporationNon-profit
Incorporated
Feb 8, 2022 in NH
Enrollment address
100 Wyman Rd
Keene, NH 03431-5029
Nursing home name
COVENANT LIVING OF KEENE
Affiliated entity
COVENANT LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Covenant Living of KeeneCCN 305103 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jun 23, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2018.6 residents per day on average
Chain
Covenant Living15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2165088Covenant Living of Keene100 Wyman Rd, Keene, NH 03431Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

95 Wyman Rd
Keene, NH 03431
Phone (603) 283-5150

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Loann C Peterson Individual Corporate Director Jul 1, 2020
Janet G Hoffman Individual Corporate Director Jul 1, 2021
Andrew Vanover Individual Corporate Director Jul 1, 2021
Pamela Christensen Individual Corporate Director Jul 1, 2021
Dixie Reppe Individual Corporate Director Jul 1, 2020
Covenant Living Communities & Services Organization, Skokie, IL Non-profit Operational/Managerial Control Feb 8, 2022 100%
Kurt Kincannon Individual Corporate Director Jul 1, 2018
Janet S Creaney Individual Corporate OfficerVice Chair Jul 24, 2020
Robert Martin Individual Corporate Director Jul 1, 2018
Kathy Buettner Individual Corporate Director Jul 1, 2020
Elizabeth Malzahn Individual W-2 Managing EmployeeVice President May 22, 2014
Terri Cunliffe Individual Corporate OfficerCeo May 22, 2015
W-2 Managing EmployeeCeo May 22, 2015
Operational/Managerial ControlCeo May 22, 2015
Jeannie Justie Individual Corporate OfficerCfo Sep 20, 2020
W-2 Managing EmployeeCfo Sep 20, 2020
Operational/Managerial ControlCfo Sep 20, 2020
Matt Manlove Individual Corporate OfficerBoard Chair Jul 24, 2020
Jennifer Means Individual Corporate Director Jul 1, 2021
Gregg Burdett Individual W-2 Managing EmployeeExecutive Director Sep 17, 2018
Todd Slechta Individual Corporate Director Jul 1, 2022
Karyn Partin Individual W-2 Managing EmployeeHealthcare Administrator Mar 14, 2022
Lorene G Flewellen Individual Corporate OfficerSecretary Apr 29, 2022

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1578211686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OLD ORCHARD RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771036",
            "telephone_number": "773-878-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WYMAN RD",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315029",
            "telephone_number": "603-283-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LIVING OF KEENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MALZAHN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "773-878-4430"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANNUAL NURSING HOME LICENSE",
            "identifier": "04350",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eamclaren@covliving.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "95 Wyman Rd",
            "city": "Keene",
            "state": "NH",
            "country_code": "US",
            "postal_code": "034315047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.