Provider Demographics
NPI:1508979360
Name:EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS
Entity Type:Organization
Organization Name:EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS
Other - Org Name:THE COVINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAY
Authorized Official - Suffix:
Authorized Official - Credentials:NHA, RCFE, MS
Authorized Official - Phone:949-389-8501
Mailing Address - Street 1:1111 S ARROYO PARKWAY
Mailing Address - Street 2:STE 230
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3259
Mailing Address - Country:US
Mailing Address - Phone:626-403-1482
Mailing Address - Fax:626-403-5881
Practice Address - Street 1:3 PURSUIT
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656
Practice Address - Country:US
Practice Address - Phone:949-389-8500
Practice Address - Fax:949-362-5000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPISCOPAL COMMUNITIES & SERVICES FOR SENIORS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-16
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060000937313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA555811Medicare PIN