NPIMap

Organization Active NPI

Covenant Care California, LLC

Doing business as Turlock Residential

  • Assisted Living Facility
  • Turlock, CA
National Provider Identifier
1144978214
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COVENANT CARE CALIFORNIA, LLC
Doing business as
Turlock Residential
Practice address
1101 E Tuolumne Rd
Turlock, CA 95382-1541
Phone
(209) 667-8409
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1101 E Tuolumne Rd
Turlock, CA 95382-1541

Mailing address

120 Vantis Dr Ste 200
Aliso Viejo, CA 92656-2677
Phone (949) 349-1222

Other identifiers 1

IdentifierTypeStateIssuer
507000306OtherCADEPARTMENT OF SOCIAL SERVICES

Other names 1

  • Turlock Residential Doing business as

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1144978214",
    "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": "949-349-1222",
            "fax_number": "949-349-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821541",
            "telephone_number": "209-667-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "507000306",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turlock Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.