NPIMap

Organization Active NPI

Quail Lake Holdings LLC

Doing business as Crystal Creek Post-Acute

  • Skilled Nursing Facility
  • Stockton, CA
National Provider Identifier
1336976778
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
QUAIL LAKE HOLDINGS LLC
Doing business as
Crystal Creek Post-Acute
Practice address
9289 Branstetter PL
Stockton, CA 95209-1700
Phone
(209) 477-5252
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Toby Tilford
Title
Co-Ceo
Phone
(858) 774-8342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9289 Branstetter PL
Stockton, CA 95209-1700

Mailing address

16544 Franzen Farm Rd
San Diego, CA 92127-2240
Phone (858) 798-5700

Other names 1

  • Crystal Creek Post-Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127001052 CA Part A Provider - Skilled Nursing Facility 9537646054 Practice locations: Stockton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336976778. Details of each certification follow.

Skilled nursing facility certification: CCN 555470

Legal name
QUAIL LAKE HOLDINGS LLC
Doing business as
CRYSTAL CREEK POST-ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 19, 1991
Last certification
Nov 8, 2024
Beds
152
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Links Healthcare
Organization structure
LLCProprietary
Enrollment address
9289 Branstetter PL
Stockton, CA 95209-1700
Nursing home name
CRYSTAL CREEK POST-ACUTE
Affiliated entity
LINKS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crystal Creek Post-AcuteCCN 555470 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 19, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
152146.4 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0856877Quail Lake Holdings, LLC Dba Crystal Creek Post-9289 Branstetter Place, Stockton, CA 95209Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Individual Indirect Ownership Interest Aug 1, 2025 2%
Wagner HTS LLC Organization, Carlsbad, CA LLC Adp of the SNF Aug 1, 2025
Toby Tilford Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 46.6%
Corporate OfficerManager Aug 1, 2025
Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Individual Indirect Ownership Interest Aug 1, 2025 0.8%
Alexander Y Chan Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Carousel G. Onia Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Antonette D Frojelin Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Links Support Services, LLC Organization, San Diego, CA LLC Operational/Managerial Control Aug 1, 2025
Adp of the SNF Jul 28, 2025
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Aug 1, 2025 100%
Links Healthcare Group LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2025 100%
Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Eide Bailly LLP Organization, Salt Lake City, UT Adp of the SNF Aug 1, 2025
Individual Indirect Ownership Interest Aug 1, 2025 4%
Armand Holland Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Curtis Rodriguez Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 46.6%
Corporate OfficerManager Aug 1, 2025
Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1336976778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16544 FRANZEN FARM RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272240",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9289 BRANSTETTER PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091700",
            "telephone_number": "209-477-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL LAKE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "858-774-8342"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Creek Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.