Organization Active NPI

Divine Covenant Care

  • Assisted Living Facility
  • Stockton, CA
National Provider Identifier
1801686720
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DIVINE COVENANT CARE
Practice address
10428 Joplin LN
Stockton, CA 95212-9290
Phone
(209) 473-7383
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Ayoade Oyewole
Title
Member
Phone
(209) 473-7383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10428 Joplin LN
Stockton, CA 95212-9290

Mailing address

10428 Joplin LN
Stockton, CA 95212-9290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1801686720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 JOPLIN LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10428 JOPLIN LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129290",
            "telephone_number": "209-473-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COVENANT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "OYEWOLE",
        "authorized_official_first_name": "AYOADE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "209-473-7383"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.