NPI 1205935152 · live from the CMS NPI Registry
Covenant Living Of Golden Valley
Skilled Nursing Facility in Golden Valley, MN. National Provider Identifier 1205935152, active.
NPI record
| NPI | 1205935152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 5825 Saint Croix Ave N, Golden Valley, MN 55422 |
| Practice phone | 763-546-6125 |
| Enumerated | September 21, 2006 |
| Last updated | August 27, 2019 |
| Authorized official | Elizabeth Mclaren, Associate Vice President Of Health |
| Other names | Colonial Acres Health Care Center; Covenant Living Of Golden Valley Care & Rehabilitation Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.