Lantern of Crescent City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LANTERN OF CRESCENT CITY LLC

Doing business as

Lantern Health Crescent City

Practice address

1280 Marshall St
Crescent City, CA 95531-2217

Phone

(801) 296-5100

NPI assigned

Nov 28, 2014

Last updated

Dec 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Robertson

Title

Ceo

Phone

(801) 296-5100

Specialties & licenses 1

Addresses

Other names 1

• Lantern Health Crescent City Doing business as

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1356748800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312217",
            "telephone_number": "801-296-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312217",
            "telephone_number": "801-296-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN OF CRESCENT CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lantern Health Crescent City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynne Krahn, P.T.A.
• Anil P. Kumar, DMD
• Kyle William Kun
• Nicole Laferriere, LCSW
• Megan Jean Lambson
• Richard Hopkins Lantz, LMFT
• Sherry Marie Latham, A.A./PSYC TECH
• Nanette Latimer, PHARMACIST
• Laurent E Wanner Chiropractic Inc
• Laurent Wanner Chiropractic, Inc (Wanner Sports & Family Chiropractic)

• Skilled Nursing Facility in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.