LAKE SHASTA, LLC
NPI 1952118135
Assisted Living Facility in Antioch, CA
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
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
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 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.