# COVENANT CARE ORANGE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Downey Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942335062
- **Authorized official:** CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (949) 349-1200

## Contact information

- **Practice address:** 13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
- **Practice address phone:** (562) 923-9301
- **Practice address fax:** (562) 923-3503
- **Mailing address:** 13007 SOUTH PARAMOUNT BLVD, DOWNEY, CA 90242-4329
- **Mailing address phone:** (562) 923-9301
- **Mailing address fax:** (562) 923-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000176 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 09/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 206190874 | OSHPD | CA |
| 05 | — | ZZT05519J | — | CA |