NEW COVENANT CARE OF CALIFORNIA, INC. (NPI# 1821163767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821163767 |
| Entity Type | Organization |
| Organization Name | NEW COVENANT CARE OF CALIFORNIA, INC. |
| Practice Address |
130 Tampico Walnut Creek CA 94598-2948 |
| Practice Telephone | 9259337970 |
| Practice Fax Number | 9252561676 |
| Mailing Telephone | 9259337970 |
| Mailing Fax Number | 9252561676 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | LAWRENCE (LARRY) KREH (CHIEF OF OPERATIONS) |
| Authorized Official Telephone | 9259377400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 140000138 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06213H | 05 |
| Street Address |
130 TAMPICO |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518074038 | New Covenant Care of Calif, Inc | Skilled Nursing Facility | 130 Tampico, Walnut Creek, CA 94598-2948 | 2006-08-23 |
| 1902127392 | J3tfz, Inc. | Skilled Nursing Facility | 130 Tampico, Walnut Creek, CA 94598-2948 | 2010-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619078839 | Walnut Hills Retirement Communties Inc. | Skilled Nursing Facility | 4748 Olde Pump Street, Walnut Creek, OH 44687 | 2006-09-26 |
| 1518074038 | New Covenant Care of Calif, Inc | Skilled Nursing Facility | 130 Tampico, Walnut Creek, CA 94598-2948 | 2006-08-23 |
| 1699795484 | Care Center of Rossmoor, LLC | Skilled Nursing Facility | 1224 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2006-07-21 |
| 1639199409 | Ygnacio Valley Care Center, LLC | Skilled Nursing Facility | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2006-07-21 |
| 1609817352 | Manor Care - Tice Valley Ca LLC | Skilled Nursing Facility | 1975 Tice Valley Blvd, Walnut Creek, CA 94595-2201 | 2006-06-10 |
| 1720035090 | Manor Care of Walnut Creek Ca LLC | Skilled Nursing Facility | 1226 Rossmoor Pkwy, Walnut Creek, CA 94595-2538 | 2006-05-30 |
| 1063938470 | Ghc of Walnut Creek, LLC | Skilled Nursing Facility | 1224 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2017-08-17 |
| 1669996245 | Awcy, LLC | Skilled Nursing Facility | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2017-07-26 |
| 1902127392 | J3tfz, Inc. | Skilled Nursing Facility | 130 Tampico, Walnut Creek, CA 94598-2948 | 2010-06-20 |
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| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.