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Organization
COVENANT CARE CALIFORNIA, LLC
Active
Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Pacific Gardens Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
577 SOUTH PEACH AVENUE, FRESNO, CA 93727-3952
(559) 251-8463
(559) 251-4465
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
040000130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206100772
OSHPD
CA
05
—
ZZR06207J
—
CA
Enumeration date
02/13/2007
Last updated
08/14/2026
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