Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roosevelt Lake Holdings LLC

Organization Skilled Nursing Facility · NPI 1134003411

Roosevelt Lake Holdings LLC is a Skilled Nursing Facility in Modesto, California. Medicare rates this nursing home 2 out of 5. Registered with an NPI since 2025.

CMS rating
2 of 5
In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 056301)
Health inspection2.0 / 5
Staffing3.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1900 Coffee Rd
Modesto, CA 95355-2703
Phone: (209) 526-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1134003411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toby Tilford — Ceo · (858) 774-8342
Other names Sierra Vista Post-Acute
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address16544 Franzen Farm Rd, San Diego, CA 92127-2240

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