Catered Manor

LBN: Covenant Care Long Beach, Inc.
Catered Manor is an health care organization with primary practice located at 4010 Virginia Road , Long Beach CA 90807-2627. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Covenant Care Long Beach, Inc. can be contacted via phone (562) 426-0394, or through Sparks, Carol via phone (949) 349-1200.

Contact Information

Primary practice address
4010 Virginia Road Long Beach CA 90807-2627
Phone: (562) 426-0394
Fax: (562) 424-1529
Website:
Map and Directions
Authorized official contact:
Name: Sparks, Carol
Phone: (949) 349-1200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 940000049 California

Profile Details

NPI number 1780672428
LBN Legal business name Covenant Care Long Beach, Inc.
DBA Doing business as Catered Manor
Authorized official Sparks, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 11th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780672428 NPPES
California MEDICAID ZZT06150J

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