Covenant Care California, Llc

LBN: Covenant Care California, Llc
Covenant Care California, Llc is an health care organization with primary practice located at 3620 Dale Rd Ste A , Modesto CA 95356-0598. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Covenant Care California, Llc can be contacted via phone (209) 521-1798, or through Sparks, Carol via phone (949) 349-1200.

Contact Information

Primary practice address
3620 Dale Rd Ste A Modesto CA 95356-0598
Phone: (209) 521-1798
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Carol
Phone: (949) 349-1200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1962150037
LBN Legal business name Covenant Care California, Llc
DBA Doing business as
Authorized official Sparks, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 2 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 1962150037 NPPES
California Other 507000307 DEPARTMENT OF SOCIAL SERVICES

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