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Organization

COVENANT CARE CALIFORNIA, LLC

Active
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Organization

COVENANT CARE CALIFORNIA, LLC

Active
Other names
Los Altos Sub-acute & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSMENT)
(949) 349-1200
Entity
Organization

Contact information

Practice address
809 FREMONT AVENUE, LOS ALTOS, CA 94024-5617
(650) 941-5255
(650) 941-2822
Mailing address
120 VANTIS DR STE 200, ALISO VIEJO, CA 92656-2677
(949) 349-1200
(949) 349-1122

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206430721
OSHPD
CA
05
—
ZZR06116H
—
CA
Enumeration date
02/22/2007
Last updated
08/14/2026
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