# COVENANT CARE CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capital Transitional Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134261142
- **Authorized official:** CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (949) 349-1200

## Contact information

- **Practice address:** 6821 24TH STREET, SACRAMENTO, CA 95822-4037
- **Practice address phone:** (916) 391-6011
- **Practice address fax:** (916) 391-4730
- **Mailing address:** 6821 24TH STREET, SACRAMENTO, CA 95822-4037
- **Mailing address phone:** (916) 391-6011
- **Mailing address fax:** (916) 391-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100000398 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 04/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206342204 | OSHPD | CA |
| 05 | — | LTM90001H | — | CA |