Organization Active NPI

Northshore Investments, Inc.

Doing business as Crescent City Nursing & Rehabilitation Center

  • Non-emergency Medical Transport (VAN)
  • Crescent City, CA
National Provider Identifier
1679509228
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NORTHSHORE INVESTMENTS, INC.
Doing business as
Crescent City Nursing & Rehabilitation Center
Practice address
1280 Marshall St
Crescent City, CA 95531-2217
Phone
(707) 464-6151
Fax
(707) 464-6064
NPI assigned
Jun 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jeffery W. Davis, ADMIN.LIC#NHA5276
Title
Administrator/Owner
Phone
(707) 464-6151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA
Non-emergency Medical Transport (VAN) 343900000X CA Primary

Addresses

Primary practice location

1280 Marshall St
Crescent City, CA 95531-2217

Mailing address

1280 Marshall St
Crescent City, CA 95531-2217
Phone (707) 464-6151

Other identifiers 2

IdentifierTypeStateIssuer
ZZR06296LMedicaidCA
MTN00826FMedicaidCA

Other names 1

  • Crescent City Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679509228",
    "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": "707-464-6151",
            "fax_number": "707-464-6064"
        },
        {
            "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": "707-464-6151",
            "fax_number": "707-464-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE INVESTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "707-464-6151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMIN.LIC#NHA5276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06296L",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00826F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent City Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • 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.