Willow Tree Nursing Center

LBN: Covenant Care California, Llc
Willow Tree Nursing Center is an health care organization with primary practice located at 2124 57Th Avenue , Oakland CA 94621-4322. 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, Llc can be contacted via phone (510) 261-2628, or through Sparks, Carol via phone (949) 349-1200.

Contact Information

Primary practice address
2124 57Th Avenue Oakland CA 94621-4322
Phone: (510) 261-2628
Fax: (510) 261-5483
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Carol
Phone: (949) 349-1200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020000123 California

Profile Details

NPI number 1346382298
LBN Legal business name Covenant Care California, Llc
DBA Doing business as Willow Tree Nursing Center
Authorized official Sparks, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Feb 3rd, 2014 - about 10 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 1346382298 NPPES
California MEDICAID ZZR05876I
California Other 206010995

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