COVENANT CARE OF CALIFORNIA


Address: 577 S Peach Ave, Fresno, CA 93727-3952
Phone: 5592518463

COVENANT CARE OF CALIFORNIA (NPI# 1972576643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972576643
Entity Type Organization
Organization Name COVENANT CARE OF CALIFORNIA
Other Organization Name PACIFIC GARDENS NURSING AND REHABILITATION CENTER
Practice Address 577 S Peach Ave
Fresno
CA 93727-3952
Practice Telephone 5592518463
Practice Fax Number 5592514465
Mailing Telephone 5592518463
Mailing Fax Number 5592514465
Enumeration Date 2006-02-10
Last Update Date 2020-08-22
Authorized Official Name MR. BART J VANDERWAL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5592518463
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZR06207J 05

Other Provider/Organization Names

Other Name Type Code
Pacific Gardens Nursing and Rehabilitation Center Doing Business As Name - Organization

Office Location

Street Address 577 S PEACH AVE
City FRESNO
State CA
Zip Code 93727-3952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669012035 William Hua Speech-Language Pathologist 577 S Peach Ave, Fresno, CA 93727-3952 2020-01-13
1477845899 Ashley Josephine Napoles-cromwell Occupational Therapy Assistant 577 S Peach Ave, Fresno, CA 93727-3952 2011-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427524354 Travis L Minor Driver 4573 Kings Canyon Rd, Freso, CA 93727 2018-10-18
1780178921 Amanda Hernandez Behavior Technician 6358 E Mono St, Fresno, CA 93727 2018-06-20
1225533169 Lindsay Fisher Marriage & Family Therapist 4928 E Clinton Way Ste 108, Fresno, CA 93727 2018-03-23
1811351992 Paulinder Ranu Pediatrics 5557 E King Cyn Rd, Fresno, CA 93727 2016-04-05
1851781371 Sheri Taylor Social Worker 2010 N Fine Ave # 105, Fresno, CA 93727 2015-02-04
1770917486 Elouise Jones-green Counselor 4491 E. Mckinley Ave #112, Fresno, CA 93727 2013-08-29
1700227022 Chee Vang Counselor 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 2013-07-15
1578839791 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 5995 E Kings Canyon Rd, Fresno, CA 93727 2012-04-02
1932411378 Leticia Ball Marriage & Family Therapist 4944 E. Clinton Way, Fresno, CA 93727 2010-07-13
1639308158 Juanita Sermeno Counselor 4944 E. Clinton, Suite 101, Fresno, CA 93727 2009-07-06
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598308850 Acme Care, Inc Skilled Nursing Facility 6253 N Colonial Ave, Fresno, CA 93704-1437 2019-10-18
1245779305 Senior Med Care Living Inc Skilled Nursing Facility 2275 N Saratoga Ave, Fresno, CA 93722-4696 2017-02-21
1952766693 Fresno Postacute Care LLC Skilled Nursing Facility 1233 A St., Fresno, CA 93706-3202 2015-12-23
1548625718 Northern California Congregate Living, Inc Skilled Nursing Facility 5321 W Roberts Ave, Fresno, CA 93722-7737 2015-12-15
1306213517 Babujyan Healthcare, Inc. Skilled Nursing Facility 1419 W Bullard Ave, Fresno, CA 93711-2324 2015-08-24
1346623378 Mehdi Hakimipour Md, Inc. Skilled Nursing Facility 315 E Nees Ave, #124, Fresno, CA 93720-2062 2015-07-08
1720499908 Affinity Congregate Living, Inc Skilled Nursing Facility 3150 E Shields Ave, Fresno, CA 93726-6901 2014-05-10
1134480817 Humangood Fresno Skilled Nursing Facility 5551 N Fresno St, Fresno, CA 93710 2012-05-30
1528100013 Covenant Care California, LLC Skilled Nursing Facility 577 South Peach Avenue, Fresno, CA 93727-3952 2007-02-13
1336287077 Manning Gardens Care Center Inc Skilled Nursing Facility 2113 E Manning Ave, Fresno, CA 93725-9681 2007-02-02
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Competitor

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City FRESNO
Zip Code 93727

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Dataset Information

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.

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