COVENANT CARE CALIFORNIA, LLC (NPI# 1053453902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053453902 |
| Entity Type | Organization |
| Organization Name | COVENANT CARE CALIFORNIA, LLC |
| Other Organization Name | ROYAL CARE SKILLED NURSING CENTER |
| Practice Address |
2725 Pacific Avenue Long Beach CA 90806-2612 |
| Practice Telephone | 5624277493 |
| Practice Fax Number | 5624241833 |
| Mailing Telephone | 5624277493 |
| Mailing Fax Number | 5624241833 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | CAROL SPARKS (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9493491200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 940000145 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OSHPD | 206190663 | 01 |
| CA | ZZT05041J | 05 |
| Other Name | Type Code |
|---|---|
| Royal Care Skilled Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780719278 | Covenant Care California, LLC | Skilled Nursing Facility | 911 Bryant Street, Palo Alto, CA 94301-2711 | 2007-02-23 |
| 1043345812 | Covenant Care California, LLC | Skilled Nursing Facility | 809 Fremont Avenue, Los Altos, CA 94024-5617 | 2007-02-22 |
| 1437291929 | Covenant Care California, LLC | Skilled Nursing Facility | 3620 Dale Rd, Suite B, Modesto, CA 95356-0598 | 2007-02-13 |
| 1346382298 | Covenant Care California, LLC | Skilled Nursing Facility | 2124 57th Avenue, Oakland, CA 94621-4322 | 2007-02-13 |
| 1134261142 | Covenant Care California, LLC | Skilled Nursing Facility | 6821 24th Street, Sacramento, CA 95822-4037 | 2007-02-13 |
| 1831231877 | Covenant Care California, LLC | Skilled Nursing Facility | 8170 Murray Avenue, Gilroy, CA 95020-4605 | 2007-02-13 |
| 1528100013 | Covenant Care California, LLC | Skilled Nursing Facility | 577 South Peach Avenue, Fresno, CA 93727-3952 | 2007-02-13 |
| 1801938816 | Covenant Care California, LLC | Skilled Nursing Facility | 9289 Branstetter Place, Stockton, CA 95209-1700 | 2007-02-13 |
| 1164563276 | Covenant Care California, LLC | Skilled Nursing Facility | 1111 E. Tuolumne Road, Turlock, CA 95382-1541 | 2007-02-09 |
| 1205977311 | Covenant Care California, LLC | Skilled Nursing Facility | 160 S Patterson Avenue, Santa Barbara, CA 93111-2006 | 2007-02-09 |
| Street Address |
2725 PACIFIC AVENUE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1447791959 | Retirement Housing Foundation | Skilled Nursing Facility | 911 N Studebaker Rd, Long Beach, CA 90815-4900 | 2017-03-16 |
| 1063877223 | Sincerity Homes, LLC | Skilled Nursing Facility | 2910 De Forest Ave, Long Beach, CA 90806-1405 | 2015-12-15 |
| 1487046900 | Hallmark Rehab | Skilled Nursing Facility | 1803 Termino Ave, #2402, Long Beach, CA 90815-2691 | 2015-02-19 |
| 1063800274 | Hallmark Rehab | Skilled Nursing Facility | 2401 Cedar Ave, Long Beach, CA 90807 | 2014-12-23 |
| 1356694483 | Ephesian Wellness Center, Inc | Skilled Nursing Facility | 723 E 9th St., Long Beach, CA 90813 | 2012-10-26 |
| 1083935746 | Genesis Healthcare Center, Inc | Skilled Nursing Facility | 1201 Walnut Ave, Long Beach, CA 90813-3822 | 2010-06-17 |
| 1245422187 | Ridgill Johnson Properties, Inc | Skilled Nursing Facility | 3557 Atlantic Avenue, Suite 188, Long Beach, CA 90807 | 2007-08-14 |
| 1720111479 | Park Avenue Operating Company LLC | Skilled Nursing Facility | 425 National Blvd, Long Beach, NY 11561-2031 | 2007-03-13 |
| 1659424745 | Intercommunity Care Centers, Inc. | Skilled Nursing Facility | 2626 Grand Ave, Long Beach, CA 90815-1707 | 2007-01-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.