NPIMap

Organization Active NPI

Tahoe Forest Hospital District

  • Skilled Nursing Facility
  • Truckee, CA
National Provider Identifier
1295897395
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000151 Issued in CA
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Practice address
10121 Pine Ave
Truckee, CA 96161-4835
Phone
(530) 587-6011
Fax
(530) 582-3567
NPI assigned
Dec 14, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Felix
Title
Cfo
Phone
(530) 582-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000151 CA Primary

Addresses

Primary practice location

10121 Pine Ave
Truckee, CA 96161-4835

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

Other names 1

  • TAHOE FOREST HOSPITAL DP SNF Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915001246 CA Part A Provider - Skilled Nursing Facility 0446161335 Practice locations: Truckee, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295897395. Details of each certification follow.

Skilled nursing facility certification: CCN 555231

Legal name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
TAHOE FOREST HOSPITAL SNF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 3, 1986
Last certification
Jun 13, 2024
Beds
37
Ownership / control type
Nonprofit Corporation
Organization structure
OtherNon-profit
Enrollment address
10121 Pine Ave
Truckee, CA 96161-4835
Nursing home name
TAHOE FOREST HOSPITAL D/P SNF

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Tahoe Forest Hospital D/P SNFCCN 555231 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 3, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3731.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Tahoe Forest HSP Cardio11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tahoe Forest Hospital District Organization, Truckee, CA 5% Or Greater Direct Ownership Interest Aug 22, 2012 100%
Adp of the SNF Aug 22, 2012
Robert J Darzynkiewicz Individual Corporate OfficerBoard Member Jun 17, 1971
Dale Chamblin Individual Corporate DirectorBoard Member Dec 11, 2014
Mary a Brown Individual Corporate DirectorBoard Member Jun 22, 2017
Heidi Standteiner Individual Operational/Managerial Control Sep 7, 2020
Adp of the SNF Mar 24, 2025
Michael McGarry Individual Corporate OfficerBoard Member Feb 27, 2020
Margaret Abrams Individual Operational/Managerial Control Jun 5, 2017
Adp of the SNF Mar 24, 2025
Crystal Felix Individual Corporate OfficerCfo Jun 1, 2006
Alyce Wong Individual Corporate DirectorBoard Member Dec 15, 2016
Anna Roth Individual Corporate OfficerPresident and Ceo Mar 10, 2025

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Incline Village Community HospitalIncline Village, NV, CCN 291301 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 6, 1996
Tahoe Forest HospitalTruckee, CA, CCN 051328 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 6, 2013
Tahoe Forest HospitalTruckee, CA, CCN 05Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Home Health ServicesTruckee, CA, CCN 057200 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1966
Tahoe Forest HospiceTruckee, CA, CCN 051732 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Multispecialty Clinic Pediatrics/Primary CareTruckee, CA, CCN 058707 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2011
Tahoe Forest Multispecialty Clinics-Im/CardTruckee, CA, CCN 058713 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2019
Tahoe Forest Multispecialty Clinic-Incline VillageIncline Village, NV, CCN 293992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2007
Jun 1, 2007
Tahoe Forest Multispecialty Clinic - Im/OBTruckee, CA, CCN 058724 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2007

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1295897395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011",
            "fax_number": "530-582-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011",
            "fax_number": "530-582-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE FOREST HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-582-6656"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAHOE FOREST HOSPITAL DP SNF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.