Covenant Care California, Llc in Mountain View - Skilled Nursing Facility

Covenant Care California, Llc - NPI 1750378519

Covenant Care California, Llc is a Skilled Nursing Facility in Mountain View, California. Covenant Care California, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Covenant Care California, Llc is 1750378519. The last update date is 2014-02-03.

Covenant Care California, Llc's current location address is 1949 Grant Road, Mountain View, California. You can contact this provider via phone number 6509682990 and fax number 6509657955. The mailing address for Covenant Care California, Llc is 1949 Grant Road, Mountain View, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Covenant Care California, Llc
Address 1949 Grant Road, Mountain View, California
Phone Number 6509682990
Fax Number 6509657955
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Sparks Carol
Telephone Number 9493491200

NPI Number Detail

NPI Number 1750378519
Provider Enumeration Date 2005-10-05
Last Updated Date 2014-02-03

Provider Mailing Address Detail

Address 1949 Grant Road
City Mountain View
State California (CA)
Post Code 940403217
Phone Number 6509682990
Fax Number 6509657955

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 220000430
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
ZZR05315I CA --

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FAQs about Covenant Care California, Llc

What is the unique 10-digit identification code issued to Covenant Care California, Llc by the Centers for Medicare & Medicaid Services?

The Covenant Care California, Llc has been assigned the NPI (National Provider Identifier) 1750378519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Covenant Care California, Llc's facilities are geographically located?

The facilities of Covenant Care California, Llc are physically situated at the following location: 1949 Grant Road, Mountain View, CA, 940403217.

What is Covenant Care California, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Covenant Care California, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.

When did Covenant Care California, Llc receive its 1750378519 assignment?

The Covenant Care California, Llc was assigned its 1750378519 on 2005-10-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Covenant Care California, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Covenant Care California, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-03.

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