Active NPI
Covia Communities
- Skilled Nursing Facility
- Santa Rosa, CA
National Provider Identifier
1114097557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 490107656
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.