Lake Oroville Country Retirement

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

45001619 Issued in CA

Legal business name

LAKE OROVILLE COUNTRY RETIREMENT

Doing business as

Country Crest

Practice address

55 Concordia LN
Oroville, CA 95966-6347

Phone

(530) 533-7857

Fax

(530) 533-7887

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Larry Eugene Bradley, NHA

Title

Executive Director

Phone

(530) 533-7857

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Country Crest Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Smith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oroville, CA
  • NPI 1407095276
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417939125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CONCORDIA LN",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666347",
            "telephone_number": "530-533-7857",
            "fax_number": "530-533-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CONCORDIA LN",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666347",
            "telephone_number": "530-533-7857",
            "fax_number": "530-533-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OROVILLE COUNTRY RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-533-7857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "45001619",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55802F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Lacroix
• Kim Lafourche
• Cary M Lai, DDS
• Laila E. Chandy, M.D., Prof. Copr
• Frederick Laine, PHARMD
• Lakeview Horizon Psychiatric Nursing Services Professional Corporation
• Kimran Kaur Lally
• Charles Randolph Landis, D.D.S., O.M.S.
• Michael A Lang-Perry Jr.
• Garrett Lansdown

• Assisted Living Facility in Oroville, CA
• Providers in Oroville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.