# COVENANT CARE CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palo Alto Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780719278
- **Authorized official:** CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (949) 349-1200

## Contact information

- **Practice address:** 911 BRYANT STREET, PALO ALTO, CA 94301-2711
- **Practice address phone:** (650) 327-0511
- **Practice address fax:** (650) 327-7823
- **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 | 220000425 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206431059 | OSHPD | CA |
| 05 | — | ZZR05646J | — | CA |