Pacific Gardens Nursing And Rehabilitation Center

LBN: Covenant Care Of California
Pacific Gardens Nursing And Rehabilitation Center is an health care organization with primary practice located at 577 S Peach Ave , Fresno CA 93727-3952. 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 Of California can be contacted via phone (559) 251-8463, or through Vanderwal, Bart J via phone (559) 251-8463.

Contact Information

Primary practice address
577 S Peach Ave Fresno CA 93727-3952
Phone: (559) 251-8463
Fax: (559) 251-4465
Website:
Map and Directions
Authorized official contact:
Name: Vanderwal, Bart J
Phone: (559) 251-8463

Health care specialties

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

Profile Details

NPI number 1972576643
LBN Legal business name Covenant Care Of California
DBA Doing business as Pacific Gardens Nursing And Rehabilitation Center
Authorized official Vanderwal, Bart J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1972576643 NPPES
California MEDICAID ZZR06207J

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