Sky Lake Recovery Center, LLC
NPI 1487160388 · Substance Abuse Rehabilitation Facility · South Lake Tahoe, CA
Sky Lake Recovery Center, LLC is a Substance Abuse Rehabilitation Facility organization in South Lake Tahoe, CA (NPI 1487160388).
Provider details
- NPI number
- 1487160388
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nathtan Tuddenham, Chief Operating Officer(831) 740-4629
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-12-15
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Sky Lake Recovery Center, LLC's NPI number?
- Sky Lake Recovery Center, LLC's National Provider Identifier (NPI) is 1487160388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sky Lake Recovery Center, LLC?
- Sky Lake Recovery Center, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Sky Lake Recovery Center, LLC located?
- Sky Lake Recovery Center, LLC's practice location on file with NPPES is 586 Glorene Ave, South Lake Tahoe, CA 96150-3907.
- What is Sky Lake Recovery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sky Lake Recovery Center, LLC is (530) 539-9026.
- Who is the authorized official for Sky Lake Recovery Center, LLC?
- The authorized official listed on Sky Lake Recovery Center, LLC's NPPES record is Nathtan Tuddenham, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sky Lake Recovery Center, LLC's NPI active?
- Yes — Sky Lake Recovery Center, LLC's NPI (1487160388) 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.