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SIERRA RECOVERY CENTER
NPI 1780878942
Substance Abuse Rehabilitation Facility in South Lake Tahoe, CA

Active since August 30, 2007
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 541-5190 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sierra Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA RECOVERY CENTER (NPI 1780878942) is a healthcare organization registered as a substance abuse rehabilitation facility in South Lake Tahoe, California and active in the NPI registry since August 2007. The organization lists Betsy Fedor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780878942
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSIERRA RECOVERY CENTER
Location Address1137 EMERALD BAY RDSouth Lake Tahoe, CA 96150-6207
Mailing Address1137 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 541-5190
Phone(530) 541-5190
Organization SubpartNo
Authorized OfficialBetsy FedorExecutive Director · (530) 541-5190
Enumeration DateAugust 30, 2007
✔ NPI 1780878942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1137 EMERALD BAY RD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. T.C. NICHOLAS B GARCIA II
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
SIERRA RECOVERY CENTER
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MRS. JUANA C ANTHENIEN
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
SIERRA RECOVERY CENTER
Community/Behavioral Health
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
SIERRA RECOVERY CENTER
Health Maintenance Organization
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MR. MICHAEL DOMINICK PARDO CADC
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
JERETT LEWIS DIAMOND
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MRS. ELIZABETH FEDOR LADC
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Recovery Center's NPI number?

The NPI number for Sierra Recovery Center is 1780878942. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Sierra Recovery Center located?

Sierra Recovery Center is located at 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-5190.

What is Sierra Recovery Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Sierra Recovery Center was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.