Country Crest
LBN: Lake Oroville Country Retirement
Country Crest is an health care organization with primary practice located at 55 Concordia Ln , Oroville CA 95966-6347. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Lake Oroville Country Retirement can be contacted via phone (530) 533-7857, or through Bradley, Larry Eugene via phone (530) 533-7857.
Contact Information
Primary practice address
55 Concordia Ln
Oroville CA 95966-6347
Phone: (530) 533-7857
Fax: (530) 533-7887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 45001619 | California |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | California |
Profile Details
| NPI number | 1417939125 |
|---|---|
| LBN Legal business name | Lake Oroville Country Retirement |
| DBA Doing business as | Country Crest |
| Authorized official | Bradley, Larry Eugene NHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417939125 | NPPES |
| California | MEDICAID | LTC55802F |
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