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MISSION SKILLED NURSING & SUB-ACUTE CENTER
NPI 1679615611
Skilled Nursing Facility in Santa Clara, CA

Active since February 13, 2007CLIA 05D0708860 · Waiver
3/5
Overall Rating
410 N WINCHESTER BLVD, SANTA CLARA, CA 95050(408) 248-3736(408) 247-9783 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mission Skilled Nursing & Sub-acute Center NPPES

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

MISSION SKILLED NURSING & SUB-ACUTE CENTER (NPI 1679615611) is a healthcare organization registered as a skilled nursing facility in Santa Clara, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Carol Sparks, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1679615611
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT CARE MISSION, INC.
Location Address410 N WINCHESTER BLVDSanta Clara, CA 95050-6325
Mailing Address410 N Winchester BlvdSanta Clara, CA 95050-6325 · (408) 248-3736 · Fax (408) 247-9783
Phone(408) 248-3736
Fax(408) 247-9783
Organization SubpartNo
Authorized OfficialCarol SparksDirector Of Reimbursement · (949) 349-1200
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1679615611 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 · 220000414
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.
410 N WINCHESTER BLVD, Santa Clara, CA 95050
Open in Google Maps ↗

Other Names 1

Doing Business AsMission Skilled Nursing & Sub-acute Center

Other Identifiers 3

Medicare OSCAR/certification055645CA
MedicaidZZR05645HCA
Other206430823CA · Oshpd

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0708860

Mission Skilled Nursing Facility & Subacute Center · Santa Clara, CA
Active · expires Aug 11, 2026
CLIA Number05D0708860
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDaewook Kang
Laboratory Phone(408) 248-3736
Laboratory LocationMission Skilled Nursing Facility & Subacute Center410 N Winchester Blvd, Santa Clara, CA 95050
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Mission Skilled Nursing & Subacute Center (CMS certification number 055645), from CMS Care Compare.

Mission Skilled Nursing & Subacute Center

Nursing home · Santa Clara, CA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055645
Certified Beds133 beds122 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 1969
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
59.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.47 · LPN 0.87 · RN 0.92
4.26 hrs per resident per day
Weekend Nurse Staffing
3.95 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
35.4%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
1
Substantiated Complaints
4
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 7

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

IMOLA HOLDINGS LLC
Skilled Nursing Facility
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736
SHAJI EDWIN
Physical Therapy Assistant
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736
JYOTSNA KRISHNAKUMAR
Speech-Language Pathologist
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736
VLADA RUTKEVICH OTR/L
Occupational Therapist
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 373-4839
DYLANN NICOLE ROCH
Occupational Therapist
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736
JANVI DUDHATRA
Occupational Therapy Assistant
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736
HARSHDA VIKASKUMAR CHOKSHI
Speech-Language Pathologist
410 N WINCHESTER BLVD
SANTA CLARA, CA 95050
Santa Clara County (408) 248-3736

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 Mission, Inc.'s NPI number?

The NPI number for Covenant Care Mission, Inc. is 1679615611. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Mission Skilled Nursing & Sub-Acute Center.

Where is Covenant Care Mission, Inc. located?

Covenant Care Mission, Inc. is located at 410 N Winchester Blvd, Santa Clara, CA 95050. The listed phone number is (408) 248-3736.

What is Covenant Care Mission, Inc.'s specialty?

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

Does Covenant Care Mission, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0708860) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Covenant Care Mission, Inc. a Medicare-certified nursing home?

Yes. Mission Skilled Nursing & Subacute Center is a Medicare-certified nursing home with 133 certified beds.

What quality rating does Covenant Care Mission, Inc. have?

CMS rates Mission Skilled Nursing & Subacute Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Covenant Care Mission, Inc. was last updated on September 26, 2013. 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.