Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Capital Transitional Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
6821 24TH STREET, SACRAMENTO, CA 95822-4037
(916) 391-6011
(916) 391-4730
Mailing address
6821 24TH STREET, SACRAMENTO, CA 95822-4037
(916) 391-6011
(916) 391-4730
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206342204
OSHPD
CA
05
—
LTM90001H
—
CA
Enumeration date
02/13/2007
Last updated
04/18/2014
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