# COVENANT CARE CARSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carson Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750536322
- **Authorized official:** CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (949) 349-1200

## Contact information

- **Practice address:** 2898 US HIGHWAY 50 E, CARSON CITY, NV 89701-2811
- **Practice address phone:** (775) 882-3301
- **Practice address fax:** (775) 883-9468
- **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 | 1175SNF-14 | NV | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 08/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18/19-13842 | — | NV |