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Organization
COVENANT CARE CALIFORNIA, LLC
Active
Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Valle Vista Convalescent Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
1025 WEST 2ND AVENUE, ESCONDIDO, CA 92025-3839
(760) 745-1842
(760) 745-4346
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
080000102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05500G
—
CA
Enumeration date
10/07/2005
Last updated
08/14/2026
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