ROOSEVELT LAKE HOLDINGS LLC
NPI 1134003411
Skilled Nursing Facility in Modesto, CA
NPI Status: Active since August 01, 2025
Contact Information
1900 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 526-1775
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Skilled Nursing Facility
About ROOSEVELT LAKE HOLDINGS LLC
This page provides the complete NPI Profile along with additional information for Roosevelt Lake Holdings Llc, a provider established in Modesto, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1134003411 assigned on August 2025. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated August 2025. The authorized official of this NPI record is Toby Tilford (Ceo)
- NPI
- 1134003411
- Provider Name
- ROOSEVELT LAKE HOLDINGS LLC
- Entity Type
- Organization
- Location Address
- 1900 COFFEE RD MODESTO, CA 95355
- Location Phone
- (209) 526-1775
- Mailing Address
- 16544 FRANZEN FARM RD SAN DIEGO, CA 92127
- Mailing Phone
- (858) 798-5700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2025
- Last Update Date
- 08-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 0 | 0 | 3 | 4 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 0 | 0 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 0 + 0 + 6 + 4 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1134003411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
MARIA GUERIN
Occupational Therapist
1900 COFFEE RD
MODESTO, CA
ZIP 95355
AVALON CARE CENTER-MODESTO HY-LOND LLC
Skilled Nursing Facility
1900 COFFEE RD
MODESTO, CA
ZIP 95355
MODESTO SNF OPERATIONS LLC
Skilled Nursing Facility
1900 COFFEE RD
MODESTO, CA
ZIP 95355
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134003411, enumerated as an "organization" on August 01, 2025.
The provider is located at 1900 COFFEE RD MODESTO, CA 95355 and the phone number is (209) 526-1775.
Skilled Nursing Facility with taxonomy code 314000000X.
