QUAIL LAKE HOLDINGS LLC
NPI 1336976778
Skilled Nursing Facility in Stockton, CA
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
Specialties & Licenses
Other Names 1
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, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.