NPIMap

Organization Active NPI

Covenant Care Inc.

  • Skilled Nursing Facility
  • Palo Alto, CA
National Provider Identifier
1740271584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COVENANT CARE INC.
Practice address
911 Bryant St
Palo Alto, CA 94301-2711
Phone
(650) 327-0511
Fax
(650) 327-7823
NPI assigned
Nov 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl Cartney
Title
Executive Director
Phone
(650) 327-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

911 Bryant St
Palo Alto, CA 94301-2711

Mailing address

911 Bryant St
Palo Alto, CA 94301-2711

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05646JMedicaidCA

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

Locations

911 Bryant St
Palo Alto, CA 94301
Phone (650) 327-0511

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740271584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BRYANT ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BRYANT ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012711",
            "telephone_number": "650-327-0511",
            "fax_number": "650-327-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTNEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-327-0511"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05646J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.