COVENANT VILLAGE OF TURLOCK CARE CENTER
NPI 1205906989
Skilled Nursing Facility in Turlock, CA

Active since November 09, 2006CLIA 05D0961382 · Waiver
2125 N OLIVE AVE, TURLOCK, CA 95382(209) 632-9976(209) 632-7885 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, May 31, 2019, Sep 28, 2016 and 1 more (4 updates tracked since 2016).

About Covenant Village Of Turlock Care Center NPPES

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

COVENANT VILLAGE OF TURLOCK CARE CENTER (NPI 1205906989) is a healthcare organization registered as a skilled nursing facility in Turlock, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Elizabeth Malzahn, Associate Vice President Of Health, as its authorized official.

NPPES Registry Identity

NPI1205906989
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT LIVING WEST
Location Address2125 N OLIVE AVETurlock, CA 95382-1901
Mailing Address2125 N Olive AveTurlock, CA 95382-1901 · (209) 632-9976 · Fax (209) 632-7885
Fax(209) 632-7885
Organization SubpartNo
Authorized OfficialElizabeth MalzahnAssociate Vice President Of Health · (773) 878-4430
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 30, 20194 updates tracked since enumeration
NPI 1205906989 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 CA · 030000694
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.
2125 N OLIVE AVE, Turlock, CA 95382

Other Names 1

Doing Business AsCovenant Village Of Turlock Care Center

Other Identifiers 1

MedicaidLTC55749FCA

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 05D0961382

Covenant Village Care Center · Turlock, CA
Active · expires Jun 3, 2027
CLIA Number05D0961382
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorJames Knapp MD
Laboratory Phone(209) 664-5300
Laboratory LocationCovenant Village Care Center2125 North Olive Avenue, Turlock, CA 95382
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
2125 N OLIVE AVE
TURLOCK, CA 95382
Occupational Therapy Assistant
2125 N OLIVE AVE
TURLOCK, CA 95382
Physical Therapist
2125 N OLIVE AVE
TURLOCK, CA 95382
Physical Therapy Assistant
2125 N OLIVE AVE
TURLOCK, CA 95382
Physical Therapy Assistant
2125 N OLIVE AVE
TURLOCK, CA 95382

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 1205906989. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Covenant Village Of Turlock Care Center.

Where is Covenant Living West located?

Covenant Living West is located at 2125 N Olive Ave, Turlock, CA 95382. The listed phone number is (209) 632-9976.

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 05D0961382) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.