OrganizationActive
Lake Shasta, LLC
NPI 1952118135 · Assisted Living Facility · Antioch, CA
Lake Shasta, LLC is a Assisted Living Facility organization in Antioch, CA (NPI 1952118135).
Provider details
- NPI number
- 1952118135
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Williams, Managing Member(916) 299-7030
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
825 E 18th St
Antioch, CA 94509-2835
Phone: (925) 706-7944
Street-level locationGet directions
Mailing address
599 Menlo Dr
Rocklin, CA 95765-3725
Other names (DBA / former)
- Doing business as
- Delta Shores Assisted Living
Registry dates
- Enumerated
- 2024-12-12
- Last updated
- 2024-12-12
- Certified
- 2024-12-12
Frequently asked questions
- What is Lake Shasta, LLC's NPI number?
- Lake Shasta, LLC's National Provider Identifier (NPI) is 1952118135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shasta, LLC?
- Lake Shasta, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lake Shasta, LLC located?
- Lake Shasta, LLC's practice location on file with NPPES is 825 E 18th St, Antioch, CA 94509-2835.
- What is Lake Shasta, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Shasta, LLC is (925) 706-7944.
- Who is the authorized official for Lake Shasta, LLC?
- The authorized official listed on Lake Shasta, LLC's NPPES record is Ryan Williams, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shasta, LLC's NPI active?
- Yes — Lake Shasta, LLC's NPI (1952118135) is active in the NPPES registry as of the last update on 2024-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.