Crescent City Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESCENT CITY POST ACUTE LLC

Practice address

1280 Marshall St
Crescent City, CA 95531-2217

Phone

(707) 464-6151

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By 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

Adrian Dehghanmanesh

Title

Cfo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770397234. Details of each certification follow.

• CCN 056296 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056296

Legal name

CRESCENT CITY POST ACUTE LLC

Doing business as

CRESCENT CITY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 14, 1971

Last certification

Jun 21, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sun Mar Healthcare

Most recent change of ownership

Nov 4, 2025

Organization structure

LLCProprietary

Enrollment address

1280 Marshall St
Crescent City, CA 95531-2217

Nursing home name

CRESCENT CITY CARE CENTER

Affiliated entity

DAVID JOHNSON

Listed as

Crescent City Care CenterCCN 056296 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 14, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9984.9 residents per day on average

Chain

David Johnson48 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

2Fines totaling $144,866

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 1

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

• Sidney Mitchell, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Watsonville, CA
  • NPI 1518027630

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Madera Post Acute LLC

  • Skilled Nursing Facility
  • Madera, CA
  • NPI 1750195210

  Sun Meridian Health Holdings LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Fariborz Shams, D.O.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1063421865

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1770397234",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CITY POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DEHGHANMANESH",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Lucinda Cox, CAS III
• Madeline R Coyle
• David Gordon Crabtree, D.D.S.
• Crescent City Internal Medicine
• Crescent City Nurse Anesthetist
• Crescent City Skilled Nursing, LLC
• Shirley Crockett
• Jennifer Ann Cron Miller, MA, AMFT
• Karena Marie Crowell, LVN
• William Ellis Crowell

• 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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.