Pacific Gardens Nursing & Rehabilitation Center
LBN: Covenant Care California, Llc
Pacific Gardens Nursing & Rehabilitation Center is an health care organization with primary practice located at 577 South Peach Avenue , Fresno CA 93727-3952. 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 (559) 251-8463, or through Sparks, Carol via phone (949) 349-1200.
Contact Information
Primary practice address
577 South Peach Avenue
Fresno CA 93727-3952
Phone: (559) 251-8463
Fax: (559) 251-4465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 040000130 | California |
Profile Details
| NPI number | 1528100013 |
|---|---|
| LBN Legal business name | Covenant Care California, Llc |
| DBA Doing business as | Pacific Gardens Nursing & Rehabilitation 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528100013 | NPPES |
| California | MEDICAID | ZZR06207J | |
| California | Other | 206100772 |
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