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CRESCENT CITY SKILLED NURSING, LLC
NPI 1962951715
Long Term Care Hospital in Crescent City, CA

Active since September 21, 2016CLIA Certified · 2 labs
1/5
Overall Rating
1280 MARSHALL ST, CRESCENT CITY, CA 95531(707) 464-6151 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Mar 9, 2020, Sep 21, 2016 (3 updates tracked since 2016).

About Crescent City Skilled Nursing, Llc NPPES

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

CRESCENT CITY SKILLED NURSING, LLC (NPI 1962951715) is a healthcare organization registered as a long term care hospital in Crescent City, California and active in the NPI registry since September 2016. The organization holds 2 active CLIA laboratory certificates and lists Nichole Tons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962951715
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameCRESCENT CITY SKILLED NURSING, LLC
Location Address1280 MARSHALL STCrescent City, CA 95531-2217
Mailing Address330 S Medio DrLos Angeles, CA 90049-3914 · (310) 270-6469
Phone(707) 464-6151
Organization SubpartNo
Authorized OfficialNichole TonsCeo · (310) 270-6469
Enumeration DateSeptember 21, 2016
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1962951715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
1280 MARSHALL ST, Crescent City, CA 95531
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CLIA Laboratory Certificates CMS CLIA 2

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 05D2149578

Crescent City Skilled Nursing · Crescent City, CA
Active · expires Nov 8, 2027
CLIA Number05D2149578
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorSidney Todd Mitchell
Laboratory Phone(707) 464-6151
Laboratory LocationCrescent City Skilled Nursing1280 Marshall St, Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0715119

Crescent City Skilled Nursing · Crescent City, CA
Active · expires Aug 31, 2026
CLIA Number05D0715119
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPankaj K. Karan, MD
Laboratory Phone(707) 464-6151
Laboratory LocationCrescent City Skilled Nursing1280 Marshall Street, Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Crescent City Skilled Nursing (CMS certification number 056296), from CMS Care Compare.

Crescent City Skilled Nursing

Nursing home · Crescent City, CA
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056296
Certified Beds99 beds81 residents per day on average
Medicare & Medicaid Participant SinceSeptember 14, 1971
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
212.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.77 · LPN 0.96 · RN 0.22
2.94 hrs per resident per day
Weekend Nurse Staffing
2.56 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
75%
Registered Nurse Turnover
66.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
2
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

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

LYNNE KRAHN P.T.A.
Physical Therapy Assistant
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6151
LANTERN OF CRESCENT CITY LLC
Skilled Nursing Facility
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (801) 296-5100
BRIANNA WISHING
Occupational Therapist
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (615) 260-8187
NORTHSHORE INVESTMENTS, INC.
Non-emergency Medical Transport (VAN)
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6151
CRESCENT CITY POST ACUTE LLC
Skilled Nursing Facility
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6151
MISTY ANN STUTES COTA
Occupational Therapy Assistant
1280 MARSHALL ST
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6151

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 Crescent City Skilled Nursing, LLC's NPI number?

The NPI number for Crescent City Skilled Nursing, LLC is 1962951715. It was assigned to this organization in the NPPES registry on September 21, 2016.

Where is Crescent City Skilled Nursing, LLC located?

Crescent City Skilled Nursing, LLC is located at 1280 Marshall St, Crescent City, CA 95531. The listed phone number is (707) 464-6151.

What is Crescent City Skilled Nursing, LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Crescent City Skilled Nursing, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Crescent City Skilled Nursing, LLC a Medicare-certified nursing home?

Yes. Crescent City Skilled Nursing is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Crescent City Skilled Nursing, LLC have?

CMS rates Crescent City Skilled Nursing 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Crescent City Skilled Nursing, LLC was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.