OrganizationActive
Sierra Recovery Center
NPI 1295949451 · Substance Abuse Rehabilitation Facility · South Lake Tahoe, CA
Provider details
- NPI number
- 1295949451
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Elixabeth Fedor, Executive Director(530) 541-5190
- License
- 090003CN (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
931 Macinaw Rd
South Lake Tahoe, CA 96150-3525
Phone: (530) 541-5440
Fax: (530) 541-0456
Street-level locationGet directions
Mailing address
1137 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.