COVENANT CARE CALIFORNIA, LLC
NPI 1962150037
Assisted Living Facility in Modesto, CA

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

The NPI number for Covenant Care California, LLC is 1962150037. It was assigned to this organization in the NPPES registry on March 16, 2022. The provider is doing business as Vintage Faire 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 March 16, 2022

3620 DALE RD STE A, MODESTO, CA 95356(209) 521-1798 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Covenant Care California, Llc NPPES

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

COVENANT CARE CALIFORNIA, LLC (NPI 1962150037), doing business as Vintage Faire Residential, is a healthcare organization registered as an assisted living facility in Modesto, California and active in the NPI registry since March 2022. The organization lists Carol Sparks, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1962150037

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOVENANT CARE CALIFORNIA, LLC

Location Address3620 DALE RD STE AModesto, CA 95356-0598

Mailing Address120 Vantis Dr Ste 200Aliso Viejo, CA 92656-2677 · (949) 349-1200

Phone(209) 521-1798

Organization SubpartNo

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

Enumeration DateMarch 16, 2022

NPPES CertifiedMarch 16, 2022

✔ NPI 1962150037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

3620 DALE RD STE A, Modesto, CA 95356

Open in Google Maps ↗

Other Names 1

Doing Business AsVintage Faire Residential

Other Identifiers 1

Other507000307CA · Department Of Social Services

Other Providers at the Same Location NPPES

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

DEER TAIL SENIOR LVING, INC.

Assisted Living Facility

3620 DALE RD STE A
MODESTO, CA 95356

Stanislaus County (209) 524-1798

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 1962150037. It was assigned to this organization in the NPPES registry on March 16, 2022. The provider is doing business as Vintage Faire Residential.

Where is Covenant Care California, LLC located?

Covenant Care California, LLC is located at 3620 Dale Rd Ste A, Modesto, CA 95356. The listed phone number is (209) 521-1798.

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.