Provider Demographics
NPI:1356077820
Name:SACRAMENTO SIERRA REHABILITATION HOSPITAL, LLC
Entity Type:Organization
Organization Name:SACRAMENTO SIERRA REHABILITATION HOSPITAL, LLC
Other - Org Name:UC DAVIS REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDELAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-938-0927
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7000
Mailing Address - Fax:502-596-4134
Practice Address - Street 1:4875 BROADWAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1500
Practice Address - Country:US
Practice Address - Phone:502-596-7547
Practice Address - Fax:502-596-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital