MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY
NPI 1649375403
Skilled Nursing Facility in Spring Valley, CA

Active since September 14, 2006
325 KEMPTON ST, SPRING VALLEY, CA 91977(619) 479-4790(619) 479-2337 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2019, May 31, 2019, Sep 28, 2016 (3 updates tracked since 2016).

About Mount Miguel Covenant Village Health Facility NPPES

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

MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY (NPI 1649375403) is a healthcare organization registered as a skilled nursing facility in Spring Valley, California and active in the NPI registry since September 2006. The organization lists Elizabeth Malzahn, Vice President Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1649375403
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT LIVING WEST
Location Address325 KEMPTON STSpring Valley, CA 91977-5810
Mailing Address325 Kempton StSpring Valley, CA 91977-5810 · (619) 479-4790 · Fax (619) 479-2337
Fax(619) 479-2337
Organization SubpartNo
Authorized OfficialElizabeth MalzahnVice President Of Health Services · (773) 878-4430
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration
NPI 1649375403 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 · 090000080
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.
325 KEMPTON ST, Spring Valley, CA 91977

Other Names 2

Doing Business AsMount Miguel Covenant Village Health Facility
Doing Business AsMount Miguel Care Center

Other Identifiers 1

MedicaidLTC55134GCA

Other Providers at the Same Location NPPES 11

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

Occupational Therapist
325 KEMPTON ST
SPRING VALLEY, CA 91977
Occupational Therapy Assistant
325 KEMPTON ST
SPRING VALLEY, CA 91977
Occupational Therapy Assistant
325 KEMPTON ST
SPRING VALLEY, CA 91977
Occupational Therapist
325 KEMPTON ST
SPRING VALLEY, CA 91977
Psychologist (Clinical)
325 KEMPTON ST
SPRING VALLEY, CA 91977
Physical Medicine & Rehabilitation
325 KEMPTON ST
SPRING VALLEY, CA 91977
Occupational Therapy Assistant
325 KEMPTON ST
SPRING VALLEY, CA 91977
Physical Therapist
325 KEMPTON ST
SPRING VALLEY, CA 91977

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 1649375403. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Mount Miguel Covenant Village Health Facility and Mount Miguel Care Center.

Where is Covenant Living West located?

Covenant Living West is located at 325 Kempton St, Spring Valley, CA 91977. The listed phone number is (619) 479-4790.

What is Covenant Living West's specialty?

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

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.