WILLOW TREE NURSING CENTER
NPI 1346382298
Skilled Nursing Facility in Oakland, CA

Active since February 13, 2007
2124 57TH AVENUE, OAKLAND, CA 94621(510) 261-2628(510) 261-5483 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willow Tree Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW TREE NURSING CENTER (NPI 1346382298) is a healthcare organization registered as a skilled nursing facility in Oakland, California and active in the NPI registry since February 2007. The organization lists Carol Sparks, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1346382298
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT CARE CALIFORNIA, LLC
Location Address2124 57TH AVENUEOakland, CA 94621-4322
Mailing Address2124 57th AvenueOakland, CA 94621-4322 · (510) 261-2628 · Fax (510) 261-5483
Fax(510) 261-5483
Organization SubpartNo
Authorized OfficialCarol SparksDirector Of Reimbursement · (949) 349-1200
Enumeration DateFebruary 13, 2007
Last NPPES UpdateFebruary 3, 2014
NPI 1346382298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 020000123
Definition
(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.
2124 57TH AVENUE, Oakland, CA 94621

Other Names 1

Doing Business AsWillow Tree Nursing Center

Other Identifiers 3

MedicaidZZR05876ICA
Other206010995CA · Oshpd
Medicare OSCAR/certification055876CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Care California, LLC's NPI number?

The NPI number for Covenant Care California, LLC is 1346382298. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Willow Tree Nursing Center.

Where is Covenant Care California, LLC located?

Covenant Care California, LLC is located at 2124 57th Avenue, Oakland, CA 94621. The listed phone number is (510) 261-2628.

What is Covenant Care California, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Covenant Care California, LLC was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.