Covenant Care Capitola, Llc in Capitola - Skilled Nursing Facility
Covenant Care Capitola, Llc - NPI 1609874163
Covenant Care Capitola, Llc is a Skilled Nursing Facility in Capitola, California. Covenant Care Capitola, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Covenant Care Capitola, Llc is 1609874163. The last update date is 2008-07-24.
Covenant Care Capitola, Llc's current location address is 1935 Wharf Rd, Capitola, California. You can contact this provider via phone number 8314760770 and fax number 8314760737. The mailing address for Covenant Care Capitola, Llc is 1935 Wharf Rd, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Care Capitola, Llc |
|---|---|
| Address | 1935 Wharf Rd, Capitola, California |
| Phone Number | 8314760770 |
| Fax Number | 8314760737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Sparks A Carol |
| Telephone Number | 9493491200 |
NPI Number Detail
| NPI Number | 1609874163 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2008-07-24 |
Provider Mailing Address Detail
| Address | 1935 Wharf Rd |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 950102606 |
| Phone Number | 8314760770 |
| Fax Number | 8314760737 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 70000039 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR06048I | CA | -- |
Post Comment/ Review Below
What is the Covenant Care Capitola, Llc's unique identification number?
The Covenant Care Capitola, Llc has been assigned the NPI (National Provider Identifier) Number 1609874163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Covenant Care Capitola, Llc's facilities are geographically located?
The facilities of Covenant Care Capitola, Llc are physically situated at the following location: 1935 Wharf Rd, Capitola, CA, 950102606.
What is Covenant Care Capitola, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Covenant Care Capitola, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Covenant Care Capitola, Llc receive its 1609874163 assignment from the Centers for Medicare & Medicaid Services?
The Covenant Care Capitola, Llc was assigned its 1609874163 by the Centers for Medicare & Medicaid Services on 2005-07-08.
As of what date were the details pertaining to Covenant Care Capitola, Llc last refreshed?
The information related to the Covenant Care Capitola, Llc, including its address, specialty, and other relevant details, was last updated on 2008-07-24.