Provider Demographics
NPI:1518549179
Name:SACRAMENTO RIVER HEALTHCARE LLC
Entity Type:Organization
Organization Name:SACRAMENTO RIVER HEALTHCARE LLC
Other - Org Name:FIRST CALL HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-401-1369
Mailing Address - Street 1:6929 SUNRISE BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-3164
Mailing Address - Country:US
Mailing Address - Phone:916-725-2580
Mailing Address - Fax:
Practice Address - Street 1:6929 SUNRISE BLVD STE 180
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-3164
Practice Address - Country:US
Practice Address - Phone:916-725-2580
Practice Address - Fax:916-725-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based