CRESTWOOD MANOR - MODESTO
NPI 1639202948
Community/Behavioral Health in Modesto, CA

Q: What is Stanislaus County's NPI number?

The NPI number for Stanislaus County is 1639202948. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Crestwood Manor - Modesto.

Q: What is Stanislaus County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Stanislaus County was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since March 14, 2007CLIA 05D0877526 · Waiver

1400 CELESTE DR, MODESTO, CA 95355(209) 525-7423 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Crestwood Manor - Modesto NPPES

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

CRESTWOOD MANOR - MODESTO (NPI 1639202948) is a healthcare organization registered as a community/behavioral health in Modesto, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Denise C Hunt, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1639202948

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSTANISLAUS COUNTY

Location Address1400 CELESTE DRModesto, CA 95355-5041

Mailing Address800 Scenic DrModesto, CA 95350-6131 · (209) 525-7423

Phone(209) 525-7423

Organization SubpartNo

Authorized OfficialDenise C HuntBehavioral Health Director · (209) 525-6225

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1639202948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1400 CELESTE DR, Modesto, CA 95355

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Other Names 1

Other NameCrestwood Manor - Modesto

Other Identifiers 1

Medicaid5025CA

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 05D0877526

Crestwood Manor · Modesto, CA

Active · expires Oct 3, 2027

CLIA Number05D0877526

Laboratory TypeOther

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorLauri Sabbatini

Laboratory Phone(209) 526-8050

Laboratory LocationCrestwood Manor1400 Celeste Drive, Modesto, CA 95355

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

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

CRESTWOOD BEHAVIORAL HEALTH, INC.

Skilled Nursing Facility

1400 CELESTE DR
MODESTO, CA 95355

Stanislaus County (209) 526-8050

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 Stanislaus County's NPI number?

The NPI number for Stanislaus County is 1639202948. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Crestwood Manor - Modesto.

Where is Stanislaus County located?

Stanislaus County is located at 1400 Celeste Dr, Modesto, CA 95355. The listed phone number is (209) 525-7423.

What is Stanislaus County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Stanislaus County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0877526) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stanislaus County was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.