Crescent City Nursing & Rehabilitation Center

LBN: Northshore Investments, Inc.
Crescent City Nursing & Rehabilitation Center is an health care organization with primary practice located at 1280 Marshall St , Crescent City CA 95531-2217. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Northshore Investments, Inc. can be contacted via phone (707) 464-6151, or through Davis, Jeffery W. via phone (707) 464-6151.

Contact Information

Primary practice address
1280 Marshall St Crescent City CA 95531-2217
Phone: (707) 464-6151
Fax: (707) 464-6064
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jeffery W. ADMIN.LIC#NHA5276
Phone: (707) 464-6151

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X California

Profile Details

NPI number 1679509228
LBN Legal business name Northshore Investments, Inc.
DBA Doing business as Crescent City Nursing & Rehabilitation Center
Authorized official Davis, Jeffery W. ADMIN.LIC#NHA5276
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679509228 NPPES
California MEDICAID ZZR06296L
California MEDICAID MTN00826F

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