COUNTRY CREST POST ACUTE
NPI 1255690079
Skilled Nursing Facility in Oroville, CA

Active since May 14, 2012CLIA 05D1012435 · Waiver
50 CONCORDIA LANE, OROVILLE, CA 95966(530) 533-7857(530) 533-7887 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Country Crest Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY CREST POST ACUTE (NPI 1255690079) is a healthcare organization registered as a skilled nursing facility in Oroville, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Ryan O'hara, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255690079
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY CREST, LLC
Location Address50 CONCORDIA LANEOroville, CA 95966
Mailing Address530 N. Puente StreetBrea, CA 92821 · (530) 533-7857 · Fax (530) 533-7887
Fax(530) 533-7887
Organization SubpartNo
Authorized OfficialRyan O'haraCfo · (888) 309-0022
Enumeration DateMay 14, 2012
Last NPPES UpdateMarch 10, 2014
NPI 1255690079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 230000351
Definition

(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.

50 CONCORDIA LANE, Oroville, CA 95966

Other Names 1

Doing Business AsCountry Crest Post Acute

Other Identifiers 2

Medicare OSCAR/certification555802
Medicare OSCAR/certification555802CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1012435

Country Crest Post Acute · Oroville, CA
Active · expires Nov 9, 2027
CLIA Number05D1012435
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorCharles Garretson
Laboratory Phone(530) 532-6600
Laboratory LocationCountry Crest Post Acute50 Concordia Lane, Oroville, CA 95966
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255690079, enumerated as an "organization" on May 14, 2012.

The provider is located at 50 CONCORDIA LANE OROVILLE, CA 95966 and the phone number is (530) 533-7857.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.