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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06296L | Medicaid | CA | |
| MTN00826F | Medicaid | CA |
Other names 1
- Crescent City Nursing & Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI 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
- Jeanette Sunshine Nichol, LVN
- Rich-Allana Mauree Nichols, CMT
- Crystal Rae Nielsen, MSW
- Dolly Noon
- North Coast Family Counseling LLC
- Elizabeth Novicky, RN
- Brie-Janae Lynn Oliver
- Open Door Community Health Centers (Del Norte Mobile Health Services)
- Open Door Community Health Centers (Del Norte Community Health Center)
- Griselda Orat, RPH
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.