# COVINA CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covina Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992885958
- **Authorized official:** DAVID FRIEDMAN (PRESIDENT)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 261 W BADILLO ST, COVINA, CA 91723-1907
- **Practice address phone:** (626) 967-3874
- **Practice address fax:** (626) 967-1443
- **Mailing address:** 261 W BADILLO ST, COVINA, CA 91723-1907
- **Mailing address phone:** (626) 967-3874
- **Mailing address fax:** (626) 967-1443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 950000047 | CA | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC70149F | — | CA |
| 05 | — | ZZT05449H | — | CA |