NPIMap

Organization Active NPI

Sacramento Sierra Rehabilitation Hospital, LLC

Doing business as UC Davis Rehabilitation Hospital

  • Rehabilitation Hospital
  • Sacramento, CA
National Provider Identifier
1356077820
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
SACRAMENTO SIERRA REHABILITATION HOSPITAL, LLC
Doing business as
UC Davis Rehabilitation Hospital
Practice address
4875 Broadway
Sacramento, CA 95820-1500
Phone
(502) 596-7547
Fax
(502) 596-4134
NPI assigned
Jul 27, 2022
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Sindelar
Title
Chief Executive Officer
Phone
(916) 938-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

4875 Broadway
Sacramento, CA 95820-1500

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • UC Davis Rehabilitation Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327000963 CA Part A Provider - Hospital 4688048069 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356077820. Details of each certification follow.

Hospital certification: CCN 053046

Legal name
SACRAMENTO SIERRA REHABILITATION HOSPITAL LLC
Doing business as
UC DAVIS REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Apr 24, 2023
Last certification
Apr 24, 2023
Beds
52
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 25, 2018 in CA
Enrollment address
4875 Broadway
Sacramento, CA 95820-1500
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
UC Davis Rehabilitation HospitalCCN 053046 · All quality measures
Ownership
For profit
Certified
Apr 24, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sharon S Smeltzer Individual Corporate DirectorBoard Member Apr 24, 2023
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 24, 2023 51%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Apr 24, 2023
Dennis G Sindelar Individual Corporate OfficerChief Executive Officer Apr 24, 2023
W-2 Managing Employee Apr 24, 2023
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 24, 2023 51%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 24, 2023 51%
Bradley W Simmons Individual Corporate DirectorBoard Member Apr 24, 2023
Lifepoint Health Inc Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 24, 2023 51%
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator Apr 24, 2023
Regents of the University of California Organization, Sacramento, CA Corporation 5% Or Greater Direct Ownership Interest Apr 24, 2023 49%
Cleve C Haralson Individual Corporate DirectorBoard Member Apr 24, 2023
LPNT Development 13, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 24, 2023 51%
Cheryl Sadro Individual Corporate DirectorBoard Member Apr 24, 2023
Russell a Bailey Individual Corporate DirectorBoard Member Apr 24, 2023
James D Kirk Individual Corporate DirectorBoard Member Apr 24, 2023
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 24, 2023 51%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 74

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 74

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1356077820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 BROADWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201500",
            "telephone_number": "502-596-7547",
            "fax_number": "502-596-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO SIERRA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "SINDELAR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-938-0927"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Davis Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.