Organization
COVENANT CARE CALIFORNIA, LLC
Active
Other names
Gilroy Healthcare & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
8170 MURRAY AVENUE, GILROY, CA 95020-4605
(408) 842-9311
(408) 842-5439
Mailing address
8170 MURRAY AVENUE, GILROY, CA 95020-4605
(408) 842-9311
(408) 842-5439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206430760
OSHPD
CA
05
—
ZZR05797I
—
CA
Enumeration date
02/13/2007
Last updated
11/01/2013
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