Organization Active NPI

Covia Communities

  • Skilled Nursing Facility
  • Santa Rosa, CA
National Provider Identifier
1114097557
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
490107656 Issued in CA
Legal business name
COVIA COMMUNITIES
Practice address
5555 Montgomery Dr
Santa Rosa, CA 95409-8846
Phone
(707) 538-8400
Fax
(707) 579-6997
NPI assigned
Nov 9, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Diana Jamison
Title
Cfo
Phone
(925) 953-7446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 490107656 CA Primary

Addresses

Primary practice location

5555 Montgomery Dr
Santa Rosa, CA 95409-8846

Mailing address

2185 N California Blvd Ste 215
Walnut Creek, CA 94596-3566
Phone (925) 956-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1114097557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 N CALIFORNIA BLVD STE 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963566",
            "telephone_number": "925-956-7400",
            "fax_number": "925-407-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954098846",
            "telephone_number": "707-538-8400",
            "fax_number": "707-579-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVIA COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-953-7446"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "490107656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.