Covenant Care Lodi, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000220 Issued in CA

Legal business name

COVENANT CARE LODI, LLC

Doing business as

Arbor Rehabilitation & Nursing Center

Practice address

900 N Church St
Lodi, CA 95240-1282

Phone

(765) 525-4371

Fax

(765) 525-4246

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Addresses

Other names 1

• Arbor Rehabilitation & Nursing Center Doing business as

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Covenant Care California, LLC

  dba Royal Care Skilled Nursing Center

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1053453902

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1396986436",
    "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": "900 N CHURCH ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401282",
            "telephone_number": "765-525-4371",
            "fax_number": "765-525-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE LODI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "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": "100000220",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "CSV",
            "contentTypeDescription": "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": "Arbor Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbor Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martie J Coryell, MFT
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• Jesus David Covarrubias
• Covenant Care Lodi, LLC (Arbor Place)
• Kiana Lee Nicole Cox, MD
• Hannah Renee Cronin, RT1431260226
• Kristine Csicsery, PT
• Kirsten M Culler, MD

• Skilled Nursing Facility in Lodi, CA
• Providers in Lodi, CA by specialty
• Skilled Nursing Facility in California

• 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.

Verify at the official NPI Registry.