Covenant Care California Inc in Modesto - Skilled Nursing Facility

Covenant Care California Inc - NPI 1487641361

Covenant Care California Inc is a Skilled Nursing Facility in Modesto, California. Covenant Care California Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Covenant Care California Inc is 1487641361. The last update date is 2020-08-22.

Covenant Care California Inc's current location address is 3620b Dale Rd, Modesto, California. You can contact this provider via phone number 2095212094 and fax number 2095216180. The mailing address for Covenant Care California Inc is 3620b Dale Rd, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Covenant Care California Inc
Address 3620b Dale Rd, Modesto, California
Phone Number 2095212094
Fax Number 2095216180
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Morgan P Susan
Telephone Number 2095212094

NPI Number Detail

NPI Number 1487641361
Provider Enumeration Date 2005-10-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3620b Dale Rd
City Modesto
State California (CA)
Post Code 953560500
Phone Number 2095212094
Fax Number 2095216180

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55355H CA --

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FAQs about Covenant Care California Inc

What is the unique provider identifier assigned to Covenant Care California Inc?

The Covenant Care California Inc has been issued the NPI (National Provider Identifier) 1487641361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Covenant Care California Inc?

The Covenant Care California Inc is situated at 3620B Dale Rd, in the city of Modesto, state of CA, with the zip code 953560500.

What is the Covenant Care California Inc's area of specialization and corresponding taxonomy classification?

The Covenant Care California Inc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

When was the Covenant Care California Inc's 1487641361 issued?

The Covenant Care California Inc's 1487641361 was issued on 2005-10-05.

When was the information regarding Covenant Care California Inc most recently updated?

The details pertaining to the Covenant Care California Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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