Active NPI
Covenant Care California, LLC
- Skilled Nursing Facility
- Turlock, CA
National Provider Identifier
1164563276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030000261
- Legal business name
- COVENANT CARE CALIFORNIA, LLC
- Practice address
- 1111 E. Tuolumne Road
Turlock, CA 95382-1541 - Phone
- (209) 632-7577
- Fax
- (209) 669-9067
- NPI assigned
- Feb 9, 2007
- 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
- Carol Sparks
- Title
- Director of Reimbursement
- Phone
- (949) 349-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030000261 | CA | Primary |
Addresses
Primary practice location
1111 E. Tuolumne Road
Turlock, CA 95382-1541
Mailing address
120 Vantis Dr Ste 200
Aliso Viejo, CA 92656-2677
Phone (949) 349-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206504002 | Other | CA | OSHPD |
| LTC55240H | Medicaid | CA |
Other names 1
- Turlock Nursing & Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1164563276",
"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": "1111 E. TUOLUMNE ROAD",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821541",
"telephone_number": "209-632-7577",
"fax_number": "209-669-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT CARE CALIFORNIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"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 REIMBURSEMENT",
"authorized_official_telephone_number": "949-349-1200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "030000261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSHPD",
"identifier": "206504002",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55240H",
"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": "Turlock Nursing & Rehabilitation Center",
"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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.