Active NPI
New Covenant Care of Dinuba, Inc.
- Skilled Nursing Facility
- Dinuba, CA
National Provider Identifier
1609941004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 120000578
- Legal business name
- NEW COVENANT CARE OF DINUBA, INC.
- Practice address
- 1730 S College Ave
Dinuba, CA 93618-2812 - Phone
- (559) 591-3300
- Fax
- (559) 591-0705
- NPI assigned
- Nov 21, 2006
- 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
- Lawrence (Larry) Kreh
- Title
- Chief of Operations
- Phone
- (925) 937-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 120000578 | CA | Primary |
Addresses
Primary practice location
1730 S College Ave
Dinuba, CA 93618-2812
Mailing address
1730 S College Ave
Dinuba, CA 93618-2812
Phone (559) 591-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05448H | Medicaid | CA |
Other names 1
- New Covenant Care of Dinuba, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229644800000",
"number": "1609941004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 S COLLEGE AVE",
"city": "DINUBA",
"state": "CA",
"postal_code": "936182812",
"telephone_number": "559-591-3300",
"fax_number": "559-591-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 S COLLEGE AVE",
"city": "DINUBA",
"state": "CA",
"postal_code": "936182812",
"telephone_number": "559-591-3300",
"fax_number": "559-591-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW COVENANT CARE OF DINUBA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-12-19",
"status": "A",
"authorized_official_last_name": "KREH",
"authorized_official_first_name": "LAWRENCE (LARRY)",
"authorized_official_title_or_position": "CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "925-937-7400"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "120000578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05448H",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Covenant Care of Dinuba, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.