COVENANT CARE SENIOR LIVING, INC
NPI 1295070225
Custodial Care Facility - Adult Care Home in Wichita, KS

Active since December 03, 2012
14422 E TWINLAKE DR, WICHITA, KS 67230(316) 665-9996(316) 733-1771 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About COVENANT CARE SENIOR LIVING, INC

This page provides the complete NPI Profile along with additional information for Covenant Care Senior Living, Inc, a provider established in Wichita, Kansas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1295070225 assigned on December 2012. The practitioner's primary taxonomy code is 311ZA0620X with license number BO87158 (KS). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Glennis Svanda Rn (Owner/operator)

NPI
1295070225 Verify this NPI
Provider Name
COVENANT CARE SENIOR LIVING, INC
Entity Type
Organization
Location Address
14422 E TWINLAKE DR WICHITA, KS 67230
Location Phone
(316) 665-9996
Location Fax
(316) 733-1771
Mailing Address
14422 E TWINLAKE DR WICHITA, KS 67230
Mailing Phone
(316) 665-9996
Mailing Fax
(316) 733-1771
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-03-2012
Last Update Date
12-03-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
BO87158
License State
KS
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GLENNIS SVANDA RN

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(316) 665-9996

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200653180AMEDICAID (05)KS 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
14422 E TWINLAKE DR
WICHITA, KS 67230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295070225, enumerated as an "organization" on December 03, 2012.

The provider is located at 14422 E TWINLAKE DR WICHITA, KS 67230 and the phone number is (316) 665-9996.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.