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Organization
COVENANT CARE CALIFORNIA, LLC
Active
Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Grant Cuesta Sub-Acute and 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
1949 GRANT ROAD, MOUNTAIN VIEW, CA 94040-3217
(650) 968-2990
(650) 965-7955
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
220000430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05315I
—
CA
Enumeration date
10/05/2005
Last updated
08/14/2026
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