# COVENANT LIVING WEST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samarkand Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467558692
- **Authorized official:** ELIZABETH MALZAHN (VICE PRESIDENT OF HEALTH SERVICES)
- **Authorized official phone:** (773) 878-4430

## Contact information

- **Practice address:** 2566 TREASURE DR, SANTA BARBARA, CA 93105-4148
- **Practice address phone:** (805) 687-0701
- **Practice address fax:** (805) 687-3386
- **Mailing address:** 2550 TREASURE DRIVE, SANTA BARBARA, CA 93105-4892
- **Mailing address phone:** (805) 687-0701
- **Mailing address fax:** (805) 687-3386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000051 | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 07/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55762F | — | CA |