Vintage Faire Nursing And Rehabilitation Center

LBN: Covenant Care California Inc
Vintage Faire Nursing And Rehabilitation Center is an health care organization with primary practice located at 3620B Dale Rd , Modesto CA 95356-0500. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Covenant Care California Inc can be contacted via phone (209) 521-2094, or through Morgan, Susan P via phone (209) 521-2094.

Contact Information

Primary practice address
3620B Dale Rd Modesto CA 95356-0500
Phone: (209) 521-2094
Fax: (209) 521-6180
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Susan P
Phone: (209) 521-2094

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California

Profile Details

NPI number 1487641361
LBN Legal business name Covenant Care California Inc
DBA Doing business as Vintage Faire Nursing And Rehabilitation Center
Authorized official Morgan, Susan P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487641361 NPPES
California MEDICAID 55355H

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