OrganizationActive
Covenant Living West
NPI 1023190824 · Skilled Nursing Facility · Mercer Island, WA
Provider details
- NPI number
- 1023190824
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Malzahn, Vice President of Health Services(773) 878-4430
- License
- 1231 (WA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9107 Fortuna Dr
Mercer Island, WA 98040-3132
Phone: (206) 268-3000
Fax: (206) 236-1438
Street-level locationGet directions
Mailing address
9150 Fortuna Drive
Mercer Island, WA 98040-3133
Other names (DBA / former)
- Doing business as
- Covenant Shores Health Center
- Doing business as
- Covenant Shores Health Center
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2019-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.