Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Buena Vista Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
160 S PATTERSON AVENUE, SANTA BARBARA, CA 93111-2006
(805) 964-4871
(805) 683-3938
Mailing address
160 S PATTERSON AVENUE, SANTA BARBARA, CA 93111-2006
(805) 964-4871
(805) 683-3938
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206420901
OSHPD
CA
05
—
LTC55394H
—
CA
Enumeration date
02/09/2007
Last updated
02/03/2014
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