Healthcare Provider Details

I. General information

NPI: 1316481286
Provider Name (Legal Business Name): COVINGTON CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 S CATHY AVE
SIOUX FALLS SD
57106-1518
US

IV. Provider business mailing address

3900 S CATHY AVE
SIOUX FALLS SD
57106-1518
US

V. Phone/Fax

Practice location:
  • Phone: 605-361-8822
  • Fax: 605-361-9879
Mailing address:
  • Phone: 605-361-8822
  • Fax: 605-361-9879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195