Organization
COVENANT CARE MISSION, INC.
Active
Other names
Mission Skilled Nursing & Sub-Acute Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
410 N WINCHESTER BLVD, SANTA CLARA, CA 95050-6325
(408) 248-3736
(408) 247-9783
Mailing address
410 N WINCHESTER BLVD, SANTA CLARA, CA 95050-6325
(408) 248-3736
(408) 247-9783
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220000414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206430823
OSHPD
CA
05
—
ZZR05645H
—
CA
Enumeration date
02/13/2007
Last updated
09/26/2013
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