COVENANT SHORES HEALTH CENTER
NPI 1023190824
Skilled Nursing Facility in Mercer Island, WA

Active since October 20, 2006CLIA 50D0932777 · Waiver
4/5
Overall Rating
9107 FORTUNA DR, MERCER ISLAND, WA 98040(206) 268-3000(206) 236-1438 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2019, Sep 28, 2016 (2 updates tracked since 2016).

About Covenant Shores Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT SHORES HEALTH CENTER (NPI 1023190824) is a healthcare organization registered as a skilled nursing facility in Mercer Island, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Elizabeth Malzahn, Vice President Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1023190824
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT LIVING WEST
Location Address9107 FORTUNA DRMercer Island, WA 98040-3132
Mailing Address9150 Fortuna DriveMercer Island, WA 98040-3133 · (206) 268-3000 · Fax (206) 236-1438
Fax(206) 236-1438
Organization SubpartNo
Authorized OfficialElizabeth MalzahnVice President Of Health Services · (773) 878-4430
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration
NPI 1023190824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · 1231
Definition
(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.
9107 FORTUNA DR, Mercer Island, WA 98040

Other Names 1

Doing Business AsCovenant Shores Health Center

Other Identifiers 1

Medicaid4112314WA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0932777

Covenant Shores Health Center · Mercer Island, WA
Active · expires Apr 4, 2028
CLIA Number50D0932777
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 27, 1997
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFloyd Sekeramayi
Laboratory Phone(206) 268-3000
Laboratory LocationCovenant Shores Health Center9107 Fortuna Drive, Mercer Island, WA 98040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Covenant Shores Health Center (CMS certification number 505504), from CMS Care Compare.

Covenant Shores Health Center

Nursing home · Mercer Island, WA
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number505504
Certified Beds43 beds37 residents per day on average
Medicare & Medicaid Participant SinceSeptember 4, 1997
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
122
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.95 · LPN 0.58 · RN 1.26
4.8 hrs per resident per day
Weekend Nurse Staffing
4.27 hrs per resident per day
Physical Therapist Staffing
0.14 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53.1%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
3
Infection-Control Citations
0
Fines
2 totaling $197,447.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
9107 FORTUNA DR
MERCER ISLAND, WA 98040
Dietitian, Registered
9107 FORTUNA DR
MERCER ISLAND, WA 98040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Living West's NPI number?

The NPI number for Covenant Living West is 1023190824. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Covenant Shores Health Center.

Where is Covenant Living West located?

Covenant Living West is located at 9107 Fortuna Dr, Mercer Island, WA 98040. The listed phone number is (206) 268-3000.

What is Covenant Living West's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Covenant Living West hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0932777) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Covenant Living West a Medicare-certified nursing home?

Yes. Covenant Shores Health Center is a Medicare-certified nursing home with 43 certified beds.

What quality rating does Covenant Living West have?

CMS rates Covenant Shores Health Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Covenant Living West accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Covenant Living West as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant Living West was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.