CCN: 058402 NPI: 1326117235 Organization

COVENANT HOME HEALTH OF CALIFORNIA

1217 BUENA VISTA ST , SUITE 103-C
DUARTE, CA 910102411

Contact Information

Phone 6262561111
Fax 6262561121
Enumeration Date 2006-11-07
Last Updated 2013-06-20

Taxonomies

Code: 251E00000X
Code: 251E00000X (Primary) License State: CA License: 550000375

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

censusDivision 9

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18