Covenant Care Mission, Inc. in Santa Clara - Skilled Nursing Facility

Covenant Care Mission, Inc. - NPI 1679615611

Covenant Care Mission, Inc. is a Skilled Nursing Facility in Santa Clara, California. Covenant Care Mission, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Covenant Care Mission, Inc. is 1679615611. The last update date is 2013-09-26.

Covenant Care Mission, Inc.'s current location address is 410 N Winchester Blvd, Santa Clara, California. You can contact this provider via phone number 4082483736 and fax number 4082479783. The mailing address for Covenant Care Mission, Inc. is 410 N Winchester Blvd, Santa Clara, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Covenant Care Mission, Inc.
Address 410 N Winchester Blvd, Santa Clara, California
Phone Number 4082483736
Fax Number 4082479783
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1679615611
Provider Enumeration Date 2007-02-13
Last Updated Date 2013-09-26

Provider Mailing Address Detail

Address 410 N Winchester Blvd
City Santa Clara
State California (CA)
Post Code 950506325
Phone Number 4082483736
Fax Number 4082479783

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 220000414
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
206430823 CA OSHPD
ZZR05645H CA --

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FAQs about Covenant Care Mission, Inc.

What is the unique provider identifier assigned to Covenant Care Mission, Inc.?

The Covenant Care Mission, Inc. has been issued the NPI (National Provider Identifier) 1679615611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Covenant Care Mission, Inc.?

The Covenant Care Mission, Inc. is physically situated at 410 N Winchester Blvd, in the city of Santa Clara, state of CA, with the postal code 950506325.

What is Covenant Care Mission, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Covenant Care Mission, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679615611 to Covenant Care Mission, Inc.?

The Covenant Care Mission, Inc. received its 1679615611 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.

When was the information regarding Covenant Care Mission, Inc. most recently updated?

The details pertaining to the Covenant Care Mission, Inc., including its address, specialty, and other relevant information, were last refreshed on 2013-09-26.

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