Organization Active NPI

New Covenant Care of Dinuba, Inc.

  • Skilled Nursing Facility
  • Dinuba, CA
National Provider Identifier
1609941004
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120000578 Issued in CA
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

Updated by the provider on Dec 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZT05448HMedicaidCA

Other names 1

  • New Covenant Care of Dinuba, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.