COVENANT CARE CALIFORNIA, LLC (NPI# 1134261142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134261142 |
| Entity Type | Organization |
| Organization Name | COVENANT CARE CALIFORNIA, LLC |
| Other Organization Name | CAPITAL TRANSITIONAL CARE |
| Practice Address |
6821 24th Street Sacramento CA 95822-4037 |
| Practice Telephone | 9163916011 |
| Practice Fax Number | 9163914730 |
| Mailing Telephone | 9163916011 |
| Mailing Fax Number | 9163914730 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-04-18 |
| 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 | 100000398 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OSHPD | 206342204 | 01 |
| CA | LTM90001H | 05 |
| Other Name | Type Code |
|---|---|
| Capital Transitional Care | 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 |
| 1831231877 | Covenant Care California, LLC | Skilled Nursing Facility | 8170 Murray Avenue, Gilroy, CA 95020-4605 | 2007-02-13 |
| 1053453902 | Covenant Care California, LLC | Skilled Nursing Facility | 2725 Pacific Avenue, Long Beach, CA 90806-2612 | 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 |
6821 24TH STREET |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95822-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1942853288 | Sam Brannan Middle School / Sacramento City Unified School District | Local Education Agency (LEA) | 5301 Elmer Way, Sam Brannan Middle School, Sacramento, CA 95822 | 2019-07-16 |
| 1629596440 | Christina Marie Gonzalez | Counselor | 6116 Ventura St, Sacramento, CA 95822 | 2017-08-31 |
| 1447577598 | A Touch of Faith Resource Center | Counselor | 2251 Florin Road, Suite 129, Sacramento, CA 95822 | 2010-04-29 |
| 1013195411 | Carole G Cannon | Physical Therapist | 1090 Rio Lane, Sacramento, CA 95822 | 2008-02-07 |
| 1841310919 | Andrew S Kassels | Dentist | 6030 South Land Park Drive, Sacramento, CA 95822 | 2007-03-30 |
| 1386701852 | Correy Po-hong Lai | Acupuncturist | 2001 Oregon Dr., Sacramento, CA 95822 | 2007-01-03 |
| 1407911472 | Yolanda D Gonzales Dmd Inc | Dentist | 2378 Fruitridge Rd, Sacramento, CA 95822 | 2006-12-27 |
| 1912072935 | Brian Wayne Dong | Dentist | 5665 Freeport Bl Suite 3, Sacramento, CA 95822 | 2006-11-22 |
| 1659442382 | Adriane Rodica Scortia | Dentist | 4611 Freeport, Bl #5, Sacramento, CA 95822 | 2006-11-13 |
| Find all providers in zip 95822 | ||||
| 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 |
|---|---|---|---|---|
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588780589 | Cottage Park Place L.p. | Skilled Nursing Facility | 2200 Gramercy Dr, Sacramento, CA 95825-0308 | 2007-03-21 |
| 1689755456 | S.h.c.c., Inc. | Skilled Nursing Facility | 4700 Elvas Ave, Sacramento, CA 95819-2250 | 2006-10-18 |
| 1629158597 | C.o.n.r., Inc. | Skilled Nursing Facility | 4635 College Oak Dr, Sacramento, CA 95841-4516 | 2006-10-16 |
| 1952491862 | W.h.c., Inc | Skilled Nursing Facility | 2240 Northrop Ave, Sacramento, CA 95825-7408 | 2006-10-13 |
| 1508959214 | Jdl Healthcare Inc | Skilled Nursing Facility | 2257 Fair Oaks Blvd, Sacramento, CA 95825-5501 | 2006-10-02 |
| 1760432447 | Sutter Health Sacramento Sierra Region | Skilled Nursing Facility | 2600 L St, Sacramento, CA 95816-5612 | 2006-05-11 |
| 1538131032 | Sacramento Operating Company Lp | Skilled Nursing Facility | 7400 24th St, Sacramento, CA 95822-5350 | 2006-02-07 |
| 1396720892 | V S N F Inc | Skilled Nursing Facility | 2120 Stockton Blvd, Sacramento, CA 95817-1337 | 2005-12-07 |
| 1215928387 | S.l.h.c.c. Inc. | Skilled Nursing Facility | 3500 Folsom Blvd, Sacramento, CA 95816-6615 | 2005-10-28 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95822 |
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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.