LAKE SHASTA, LLC
NPI 1952118135
Assisted Living Facility in Antioch, CA

Active since December 12, 2024
825 E 18TH ST, ANTIOCH, CA 94509(925) 706-7944 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Shasta, Llc NPPES

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

LAKE SHASTA, LLC (NPI 1952118135), doing business as Delta Shores Assisted Living, is a healthcare organization registered as an assisted living facility in Antioch, California and active in the NPI registry since December 2024. The organization lists Ryan Williams, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1952118135
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKE SHASTA, LLC
Location Address825 E 18TH STAntioch, CA 94509-2835
Mailing Address599 Menlo DrRocklin, CA 95765-3725 · (916) 299-7030
Organization SubpartNo
Authorized OfficialRyan WilliamsManaging Member · (916) 299-7030
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
NPI 1952118135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
825 E 18TH ST, Antioch, CA 94509

Other Names 1

Doing Business AsDelta Shores Assisted Living

Other Providers at the Same Location NPPES

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

Alzheimer Center (Dementia Center)
825 E 18TH ST
ANTIOCH, CA 94509

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 Lake Shasta, LLC's NPI number?

The NPI number for Lake Shasta, LLC is 1952118135. It was assigned to this organization in the NPPES registry on December 12, 2024. The provider is doing business as Delta Shores Assisted Living.

Where is Lake Shasta, LLC located?

Lake Shasta, LLC is located at 825 E 18th St, Antioch, CA 94509. The listed phone number is (925) 706-7944.

What is Lake Shasta, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Lake Shasta, LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.