NPIMap

Organization Active NPI

Covenant Care California, LLC

  • Skilled Nursing Facility
  • Los Altos, CA
National Provider Identifier
1043345812
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000403 Issued in CA
Legal business name
COVENANT CARE CALIFORNIA, LLC
Practice address
809 Fremont Avenue
Los Altos, CA 94024-5617
Phone
(650) 941-5255
Fax
(650) 941-2822
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Sparks
Title
Director of Reimbursment
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000403 CA Primary

Addresses

Primary practice location

809 Fremont Avenue
Los Altos, CA 94024-5617

Mailing address

120 Vantis Dr Ste 200
Aliso Viejo, CA 92656-2677
Phone (949) 349-1200

Other identifiers 2

IdentifierTypeStateIssuer
ZZR06116HMedicaidCA
206430721OtherCAOSHPD

Other names 1

  • Los Altos Sub-acute & Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000456 CA Part A Provider - Skilled Nursing Facility 5597757559 Practice locations: Los Altos, CA

Skilled nursing facility certification: CCN 056116

Legal name
COVENANT CARE CALIFORNIA, LLC
Doing business as
LOS ALTOS SUB-ACUTE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 31, 1971
Last certification
Feb 27, 2025
Beds
152
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Covenant Care California LLC
Most recent change of ownership
Aug 1, 2025
Organization structure
LLCProprietary
Incorporated
Feb 23, 1994 in CA
Enrollment address
809 Fremont Ave
Los Altos, CA 94024-5617
Nursing home name
LOS ALTOS POST-ACUTE
Affiliated entity
COVENANT CARE

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Los Altos Post-AcuteCCN 056116
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 31, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152146.8 residents per day on average
Chain
Covenant Care12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0591414Los Altos Sub-Acute and Rehabilitation Center809 Fremont Avenue, Los Altos, CA 94024Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Covenant Care California Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Centre Covenant Purchaser (Q), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.7%
Christine M Sims Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerExecutive Vice President Nov 1, 2013
Operational/Managerial Control Apr 14, 2006
Centre Capital Investors V, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.7%
Robert a Levin Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 13.1%
Corporate OfficerCeo Nov 1, 2013
Operational/Managerial Control Apr 14, 2006
Lance a Hassell Individual Corporate OfficerChief Operating Officer May 17, 2018
Operational/Managerial ControlChief Operating Officer May 17, 2018 100%
Centre Covenant Purchaser (B), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 24.4%
Covenant Holdco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 100%
Covenant Care, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 17, 2008 100%
Stockwell Fund II LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.7%
Covenant Subco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 100%
Mary a Evans Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerExecutive Vice President Nov 1, 2013
Operational/Managerial Control Apr 14, 2006
Centre V Secondary Fund, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 17, 2008 24.4%
Covenant Care California, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 17, 2008 100%
Dava a Ashley Individual Corporate OfficerPresident May 17, 2018
Operational/Managerial Control Mar 26, 2018
Carol a Sparks Individual Operational/Managerial Control Apr 17, 2006
Andrew F Torok Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerEvp, Secretary and General Counsel Nov 1, 2013
State Treasurer of Mich Custodian of Public School Empl Rtmnt Systems Organization, East Lansing, MI 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.5%
Kevin P Carney Individual Corporate OfficerCfo Nov 1, 2013
Centre Covenant Purchaser (S), LLC Organization, Los Angeles, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.7%
Midcap Funding IV Trust Organization, Bethesda, MD LLC, For-profit 5% Or Greater Security Interest Feb 20, 2014 25%

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Silver Hills Health Care CenterLas Vegas, NV, CCN 295066 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Silver Ridge Healthcare CenterLas Vegas, NV, CCN 295072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Pacific Coast ManorCapitola, CA, CCN 056048 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2004
La Jolla Nursing and Rehabilitaton CenterLa Jolla, CA, CCN 056017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Shoreline Care CenterOxnard, CA, CCN 555163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Pacific Gardens Nursing and Rehabilitation CenterFresno, CA, CCN 056207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Palo Alto Sub-Acute and Rehabilitation CenterPalo Alto, CA, CCN 055646 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 1995
Aug 1, 1995
Valle Vista Post AcuteEscondido, CA, CCN 055500 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Grant Cuesta Sub-Acute and Rehabilitation CenterMountain View, CA, CCN 055315 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Buena Vista Care CenterGoleta, CA, CCN 555394 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Huntington Park Nursing CenterHuntington Park, CA, CCN 056144 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Royal Care Skilled Nursing CenterLong Beach, CA, CCN 055041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Gilroy Healthcare and Rehabilitation CenterGilroy, CA, CCN 055797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
St Edna Sub-Acute and Rehabilitation CenterSanta Ana, CA, CCN 555093 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Choice Home Health CareMonterey, CA, CCN 557461 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthStockton, CA, CCN 058216 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthFresno, CA, CCN 557764 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
San Diego Home Health CareCarlsbad, CA, CCN 059111 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthSan Jose, CA, CCN 058354 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Coastal Home Care Services, Inc.
    • Home Health Agency
    • Monterey, CA
    • NPI 1558392209

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Long Beach, CA
    • NPI 1053453902

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Santa Barbara, CA
    • NPI 1205977311

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Huntington Park, CA
    • NPI 1265573778

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Fresno, CA
    • NPI 1528100013

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Escondido, CA
    • NPI 1659369262

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Mountain View, CA
    • NPI 1750378519

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Palo Alto, CA
    • NPI 1780719278

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Santa Ana, CA
    • NPI 1831187848

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Gilroy, CA
    • NPI 1831231877

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC
    • Skilled Nursing Facility
    • Oxnard, CA
    • NPI 1891783577

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care Capitola, LLC
    • Skilled Nursing Facility
    • Capitola, CA
    • NPI 1609874163

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1043345812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANTIS DR STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562677",
            "telephone_number": "949-349-1200",
            "fax_number": "949-349-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FREMONT AVENUE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245617",
            "telephone_number": "650-941-5255",
            "fax_number": "650-941-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06116H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD",
            "identifier": "206430721",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Los Altos Sub-acute & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.