South Lake Tahoe Recovery and Rehabilitation, LLC
NPI 1043788359 · Substance Use Disorder Rehabilitation Clinic/Center · South Lake Tahoe, CA
South Lake Tahoe Recovery and Rehabilitation, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in South Lake Tahoe, CA (NPI 1043788359).
Provider details
- NPI number
- 1043788359
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Tuddenham, Chief Operating Officer(831) 740-4629
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs 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
Mailing address
Registry dates
- Enumerated
- 2018-11-05
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is South Lake Tahoe Recovery and Rehabilitation, LLC's NPI number?
- South Lake Tahoe Recovery and Rehabilitation, LLC's National Provider Identifier (NPI) is 1043788359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Lake Tahoe Recovery and Rehabilitation, LLC?
- South Lake Tahoe Recovery and Rehabilitation, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Lake Tahoe Recovery and Rehabilitation, LLC located?
- South Lake Tahoe Recovery and Rehabilitation, LLC's practice location on file with NPPES is 591 Tahoe Keys Blvd Ste D2, South Lake Tahoe, CA 96150-3359.
- What is South Lake Tahoe Recovery and Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Lake Tahoe Recovery and Rehabilitation, LLC is (530) 539-9029.
- Who is the authorized official for South Lake Tahoe Recovery and Rehabilitation, LLC?
- The authorized official listed on South Lake Tahoe Recovery and Rehabilitation, LLC's NPPES record is Nathan Tuddenham, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Lake Tahoe Recovery and Rehabilitation, LLC's NPI active?
- Yes — South Lake Tahoe Recovery and Rehabilitation, LLC's NPI (1043788359) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.