NPIMap

Organization Active NPI

Covenant Care California, LLC

Doing business as St Edna Subacute & Rehabilitation Center

  • Skilled Nursing Facility
  • Santa Ana, CA
National Provider Identifier
1831187848
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000105 Issued in CA
Legal business name
COVENANT CARE CALIFORNIA, LLC
Doing business as
St Edna Subacute & Rehabilitation Center
Practice address
1929 North Fairview Street
Santa Ana, CA 92706-2205
Phone
(714) 554-9700
Fax
(714) 554-0483
NPI assigned
Oct 12, 2005
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060000105 CA Primary

Addresses

Primary practice location

1929 North Fairview Street
Santa Ana, CA 92706-2205

Mailing address

120 Vantis Dr Ste 200
Aliso Viejo, CA 92656-2677
Phone (949) 349-1200

Other identifiers 1

IdentifierTypeStateIssuer
LTC55093GMedicaidCA

Other names 1

  • St Edna Subacute & Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000475 CA Part A Provider - Skilled Nursing Facility 5597757559 Practice locations: Santa Ana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831187848. Details of each certification follow.

Skilled nursing facility certification: CCN 555093

Legal name
COVENANT CARE CALIFORNIA, LLC
Doing business as
ST EDNA SUB-ACUTE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 11, 1978
Last certification
May 13, 2025
Beds
144
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Covenant Care
Organization structure
LLCProprietary
Incorporated
Feb 3, 1994 in CA
Enrollment address
1929 N Fairview St
Santa Ana, CA 92706-2205

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Citrus Post-AcuteCCN 555093 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 11, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144136.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Centre Covenant Purchaser (Q), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.7%
Christine M Sims Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerExecutive Vice President Nov 1, 2013
OtherLimited Liability Company Manager Apr 14, 2006
Centre Capital Investors V, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.7%
Robert a Levin Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 13.1%
Corporate OfficerCeo Nov 1, 2013
OtherLimited Liability Company Manager Apr 14, 2006
Lance a Hassell Individual Corporate OfficerChief Operating Officer May 17, 2018
Operational/Managerial ControlChief Operating Officer May 17, 2018 100%
Centre Covenant Purchaser (B), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 24.4%
Covenant Holdco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 100%
Covenant Care, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 17, 2008 100%
Stockwell Fund II LP Organization, East Lansing, MI 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.7%
Covenant Subco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 100%
Mary a Evans Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerExecutive Vice President Nov 1, 2013
OtherLimited Liability Company Manager Apr 14, 2006
Centre V Secondary Fund, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jul 17, 2008 24.4%
Covenant Care California, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 17, 2008 100%
Dava a Ashley Individual Corporate OfficerPresident Nov 1, 2013
OtherManager Mar 26, 2018
Carol a Sparks Individual W-2 Managing EmployeeDir of Reimbursement Apr 17, 2006
Andrew F Torok Individual 5% Or Greater Indirect Ownership Interest Jul 17, 2008 11.3%
Corporate OfficerEvp, Sr. Legal Counsel, & Secretary Nov 1, 2013
State Treasurer of Mich Custodian of Public School Empl Rtmnt Systems Organization, East Lansing, MI 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.5%
Kevin P Carney Individual Corporate OfficerCfo Nov 1, 2013
Centre Covenant Purchaser (S), LLC Organization, Los Angeles, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2008 11.7%
Midcap Funding IV Trust Organization, Bethesda, MD LLC, For-profit 5% Or Greater Security Interest Feb 20, 2014 25%

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Silver Hills Health Care CenterLas Vegas, NV, CCN 295066 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Silver Ridge Healthcare CenterLas Vegas, NV, CCN 295072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Pacific Coast ManorCapitola, CA, CCN 056048 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2004
La Jolla Nursing and Rehabilitaton CenterLa Jolla, CA, CCN 056017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Shoreline Care CenterOxnard, CA, CCN 555163 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Pacific Gardens Nursing and Rehabilitation CenterFresno, CA, CCN 056207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Palo Alto Sub-Acute and Rehabilitation CenterPalo Alto, CA, CCN 055646 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 1, 1995
Aug 1, 1995
Valle Vista Post AcuteEscondido, CA, CCN 055500 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Grant Cuesta Sub-Acute and Rehabilitation CenterMountain View, CA, CCN 055315 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Buena Vista Care CenterGoleta, CA, CCN 555394 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Huntington Park Nursing CenterHuntington Park, CA, CCN 056144 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Royal Care Skilled Nursing CenterLong Beach, CA, CCN 055041 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Gilroy Healthcare and Rehabilitation CenterGilroy, CA, CCN 055797 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Los Altos Sub-Acute and Rehabilitation CenterLos Altos, CA, CCN 056116 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Choice Home Health CareMonterey, CA, CCN 557461 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthStockton, CA, CCN 058216 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthFresno, CA, CCN 557764 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
San Diego Home Health CareCarlsbad, CA, CCN 059111 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015
Focus HealthSan Jose, CA, CCN 058354 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Feb 4, 2015

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Coastal Home Care Services, Inc.

    dba Choice Home Health Care

    • Home Health Agency
    • Monterey, CA
    • NPI 1558392209

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Los Altos Sub-acute & Rehabilitation Center

    • Skilled Nursing Facility
    • Los Altos, CA
    • NPI 1043345812

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Royal Care Skilled Nursing Center

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

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Buena Vista Care Center

    • Skilled Nursing Facility
    • Santa Barbara, CA
    • NPI 1205977311

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Huntington Park Nursing Center

    • Skilled Nursing Facility
    • Huntington Park, CA
    • NPI 1265573778

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Pacific Gardens Nursing & Rehabilitation Center

    • Skilled Nursing Facility
    • Fresno, CA
    • NPI 1528100013

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Valle Vista Convalescent Hospital

    • Skilled Nursing Facility
    • Escondido, CA
    • NPI 1659369262

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Grant Cuesta Sub-Acute and Rehabilitation Center

    • Skilled Nursing Facility
    • Mountain View, CA
    • NPI 1750378519

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Palo Alto Nursing Center

    • Skilled Nursing Facility
    • Palo Alto, CA
    • NPI 1780719278

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Gilroy Healthcare & Rehabilitation Center

    • Skilled Nursing Facility
    • Gilroy, CA
    • NPI 1831231877

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Shoreline Care Center

    • Skilled Nursing Facility
    • Oxnard, CA
    • NPI 1891783577

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care Capitola, LLC

    dba Pacific Coast Manor

    • Skilled Nursing Facility
    • Capitola, CA
    • NPI 1609874163

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1831187848",
    "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": "1929 NORTH FAIRVIEW STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062205",
            "telephone_number": "714-554-9700",
            "fax_number": "714-554-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "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": "060000105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55093G",
            "state": "CA"
        }
    ],
    "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": "St Edna Subacute & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.