WAGNER HEIGHTS RESIDENTIAL
NPI 1639205925
Assisted Living Facility in Stockton, CA

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

The NPI number for Covenant Care California, LLC is 1639205925. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Wagner Heights Residential.

Q: What is Covenant Care California, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 23, 2007

2435 WAGNER HEIGHTS RD, STOCKTON, CA 95209(209) 477-5353(209) 477-9959 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Wagner Heights Residential NPPES

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

WAGNER HEIGHTS RESIDENTIAL (NPI 1639205925) is a healthcare organization registered as an assisted living facility in Stockton, 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

NPI1639205925

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOVENANT CARE CALIFORNIA, LLC

Location Address2435 WAGNER HEIGHTS RDStockton, CA 95209-1778

Mailing Address120 Vantis Dr Ste 200Aliso Viejo, CA 92656-2677 · (949) 349-1222 · Fax (949) 349-1122

Phone(209) 477-5353

Fax(209) 477-9959

Organization SubpartNo

Authorized OfficialCarol SparksDirector Of Reimbursement · (949) 349-1200

Enumeration DateFebruary 23, 2007

Last NPPES UpdateMarch 16, 2022

NPPES CertifiedMarch 16, 2022

✔ NPI 1639205925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 397000308

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2435 WAGNER HEIGHTS RD, Stockton, CA 95209

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Other Names 1

Doing Business AsWagner Heights Residential

Other Identifiers 1

MedicaidRCF00025FCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARRAGANSETT BAY HOLDINGS LLC

Assisted Living Facility

2435 WAGNER HEIGHTS RD
STOCKTON, CA 95209

San Joaquin County (209) 477-5353

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 1639205925. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Wagner Heights Residential.

Where is Covenant Care California, LLC located?

Covenant Care California, LLC is located at 2435 Wagner Heights Rd, Stockton, CA 95209. The listed phone number is (209) 477-5353.

What is Covenant Care California, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Covenant Care California, LLC was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.