ROOSEVELT LAKE HOLDINGS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

MODESTO, CA

Licensed since

2025

Rate

—

Federal identifiers

NPI registry number1134003411

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameTOBY TILFORD

TitleCEO

Phone2095261775

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Source: NPI Registry · Last refreshed June 24, 2026