CRESCENT CITY SKILLED NURSING LLC NPI 1962951715

NPI Information

  • NPI: 1962951715
  • Provider Name: CRESCENT CITY SKILLED NURSING, LLC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • CLIA Number: 05D0715119
  • Address: 1280 MARSHALL ST
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 464-6151

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NPI Details

CRESCENT CITY SKILLED NURSING, LLC is a long term care hospital in Crescent City, CA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. CRESCENT CITY SKILLED NURSING, LLC NPI is 1962951715. The provider is registered as an organization entity type.

The provider's business location address is:

1280 MARSHALL ST
CRESCENT CITY, CA
ZIP 95531-217
Phone: (707) 464-6151

The provider's authorized official is Nichole Tons .
The authorized official title is Ceo and has the following contact phone number (310) 270-6469.

The CLIA number assigned to this NPI record is 05D0715119 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2016 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalNo
2282E00000XLong Term Care HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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