OrganizationActive
Roosevelt Lake Holdings LLC
NPI 1134003411 · Skilled Nursing Facility · Modesto, CA
Roosevelt Lake Holdings LLC is a Skilled Nursing Facility organization in Modesto, CA (NPI 1134003411).
Provider details
- NPI number
- 1134003411
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Toby Tilford, Ceo(858) 774-8342
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 Coffee Rd
Modesto, CA 95355-2703
Phone: (209) 526-1775
Street-level locationGet directions
Mailing address
16544 Franzen Farm Rd
San Diego, CA 92127-2240
Other names (DBA / former)
- Doing business as
- Sierra Vista Post-Acute
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Roosevelt Lake Holdings LLC's NPI number?
- Roosevelt Lake Holdings LLC's National Provider Identifier (NPI) is 1134003411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roosevelt Lake Holdings LLC?
- Roosevelt Lake Holdings LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Roosevelt Lake Holdings LLC located?
- Roosevelt Lake Holdings LLC's practice location on file with NPPES is 1900 Coffee Rd, Modesto, CA 95355-2703.
- What is Roosevelt Lake Holdings LLC's phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Lake Holdings LLC is (209) 526-1775.
- Who is the authorized official for Roosevelt Lake Holdings LLC?
- The authorized official listed on Roosevelt Lake Holdings LLC's NPPES record is Toby Tilford, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roosevelt Lake Holdings LLC's NPI active?
- Yes — Roosevelt Lake Holdings LLC's NPI (1134003411) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.