QUAIL LAKE HOLDINGS LLC
NPI 1336976778
Skilled Nursing Facility in Stockton, CA

Active since September 18, 2024CLIA 05D0856877 · Waiver
9289 BRANSTETTER PL, STOCKTON, CA 95209(209) 477-5252 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quail Lake Holdings Llc NPPES

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

QUAIL LAKE HOLDINGS LLC (NPI 1336976778), doing business as Crystal Creek Post-acute, is a healthcare organization registered as a skilled nursing facility in Stockton, California and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Toby Tilford, Co-ceo, as its authorized official.

NPPES Registry Identity

NPI1336976778
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameQUAIL LAKE HOLDINGS LLC
Location Address9289 BRANSTETTER PLStockton, CA 95209-1700
Mailing Address16544 Franzen Farm RdSan Diego, CA 92127-2240 · (858) 798-5700
Organization SubpartNo
Authorized OfficialToby TilfordCo-ceo · (858) 774-8342
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1336976778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
9289 BRANSTETTER PL, Stockton, CA 95209

Other Names 1

Doing Business AsCrystal Creek Post-acute

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 05D0856877

Quail Lake Holdings, LLC Dba Crystal Creek Post- Acute · Stockton, CA
Active · expires Aug 31, 2026
CLIA Number05D0856877
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMariam Lotia
Laboratory Phone(530) 209-0586
Laboratory LocationQuail Lake Holdings, LLC Dba Crystal Creek Post- Acute9289 Branstetter Place, Stockton, CA 95209
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
9289 BRANSTETTER PL
STOCKTON, CA 95209
Licensed Vocational Nurse
9289 BRANSTETTER PL
STOCKTON, CA 95209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quail Lake Holdings LLC's NPI number?

The NPI number for Quail Lake Holdings LLC is 1336976778. It was assigned to this organization in the NPPES registry on September 18, 2024. The provider is doing business as Crystal Creek Post-Acute.

Where is Quail Lake Holdings LLC located?

Quail Lake Holdings LLC is located at 9289 Branstetter Pl, Stockton, CA 95209. The listed phone number is (209) 477-5252.

What is Quail Lake Holdings LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Quail Lake Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0856877) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Quail Lake Holdings LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.