CRESTWOOD MANOR - SACRAMENTO
NPI 1811020308
Community/Behavioral Health in Sacramento, CA

Active since March 13, 2007CLIA 05D0687974 · Waiver
2600 STOCKTON BLVD, SACRAMENTO, CA 95817(209) 525-7423 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestwood Manor - Sacramento NPPES

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

CRESTWOOD MANOR - SACRAMENTO (NPI 1811020308) is a healthcare organization registered as a community/behavioral health in Sacramento, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Denise C Hunt, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1811020308
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTANISLAUS COUNTY
Location Address2600 STOCKTON BLVDSacramento, CA 95817-2210
Mailing Address800 Scenic DrModesto, CA 95350-6131 · (209) 525-7423
Organization SubpartNo
Authorized OfficialDenise C HuntBehavioral Health Director · (209) 525-6225
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1811020308 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.
2600 STOCKTON BLVD, Sacramento, CA 95817

Other Names 1

Other NameCrestwood Manor - Sacramento

Other Identifiers 1

Medicaid0043CA

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 05D0687974

Crestwood Manor · Sacramento, CA
Active · expires Aug 31, 2026
CLIA Number05D0687974
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKaren E. Link
Laboratory Phone(916) 452-1431
Laboratory LocationCrestwood Manor2600 Stockton Blvd, Sacramento, CA 95817
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 5

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

Psychiatry & Neurology (Psychiatry)
2600 STOCKTON BLVD
SACRAMENTO, CA 95817
Psychiatric Hospital
2600 STOCKTON BLVD
SACRAMENTO, CA 95817
Intermediate Care Facility, Mental Illness
2600 STOCKTON BLVD
SACRAMENTO, CA 95817
Psychiatric Hospital
2600 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2600 STOCKTON BLVD
SACRAMENTO, CA 95817

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 1811020308. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is also known as Crestwood Manor - Sacramento.

Where is Stanislaus County located?

Stanislaus County is located at 2600 Stockton Blvd, Sacramento, CA 95817. 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 05D0687974) 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 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.