# COVENANT PLACE OF LENEXA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT RETIREMENT SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689931016
- **Legal business name:** COVENANT RETIREMENT SERVICES
- **Authorized official:** SCOTT E GULLEDGE (MANAGER)
- **Authorized official phone:** (913) 890-4782

## Contact information

- **Practice address:** 8505 PFLUMM RD, LENEXA, KS 66215-2461
- **Practice address phone:** (913) 307-2000
- **Practice address fax:** (913) 322-0200
- **Mailing address:** 11827 W 112TH ST, SUITE 103, OVERLAND PARK, KS 66210-2726

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 01/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 17E644 | — | KS |