# COVENANT CARE MISSION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Skilled Nursing & Sub-Acute Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679615611
- **Authorized official:** CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (949) 349-1200

## Contact information

- **Practice address:** 410 N WINCHESTER BLVD, SANTA CLARA, CA 95050-6325
- **Practice address phone:** (408) 248-3736
- **Practice address fax:** (408) 247-9783
- **Mailing address:** 120 VANTIS DR STE 200, ALISO VIEJO, CA 92656-2677
- **Mailing address phone:** (949) 349-1200
- **Mailing address fax:** (949) 349-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000414 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206430823 | OSHPD | CA |
| 05 | — | ZZR05645H | — | CA |