Cf Susanville, LLC
Skilled Nursing Facility in Susanville, CA. Organization (NPI-2).
NPI number1124170519
StatusActive
Last updated in NPPESFeb 9, 2015
Details
- NPI
- 1124170519
- Entity type
- Organization (NPI-2)
- Legal business name
- Cf Susanville, LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Feb 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - SKILLED NURSING FACILITY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 230000058 | CA | Yes |
Other names
- Lassen Nursing And Rehabilitation Center (Doing Business As)
Practice location
2005 River StreetSusanville, CA 96130
Phone 530-257-5341 · Fax 530-257-8150
Mailing address
2005 River StreetSusanville, CA 96130
Phone 530-257-5341 · Fax 530-257-8150
Authorized official
Jacob Wintner
Manager
3236511808
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