Sacramento River Healthcare LLC
Organization Active NPI Community Based Hospice Care Agency · El Dorado Hills, CA
NPI 1407565997 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1407565997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- SACRAMENTO RIVER HEALTHCARE LLC
- Practice address
- 4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642 - Phone
- (916) 281-4414
- NPI assigned
- Nov 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Change of ownership 1
Facilities with the same owner 141
Medicare Care Compare: Hospice
- Listed as
- First Call Hospice South
- Certified
- Mar 16, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2293860 | First Call Hospice South | Certificate of waiver | Nov 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN B31707
- Legal name
- SACRAMENTO RIVER HEALTHCARE LLC
- Doing business as
- FIRST CALL HOSPICE SOUTH
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 16, 2022
- Last certification
- Mar 16, 2022
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 22, 2021 in NV
- Enrollment address
- 4993 Golden Foothill Pkwy
Ste 3
El Dorado Hills, CA 95762-9642
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Jesse Allande |
W-2 Managing Employee |
Aug 24, 2021 | |
| Gregory G Smith |
Contracted Managing Employee |
Sep 18, 2023 | |
| Cornerstone Healthcare Inc |
5% Or Greater Direct Ownership Interest | Dec 15, 2022 | 100% |
| Arpine Adamyan |
W-2 Managing Employee |
Apr 8, 2026 | |
| Brent Mills |
Corporate Officer |
Mar 26, 2026 | |
| Brent Guerisoli |
Corporate Director |
Dec 15, 2022 | |
| The Pennant Group Inc |
5% Or Greater Indirect Ownership Interest | Dec 15, 2022 | 100% |
| John J Gochnour |
Corporate Officer |
Apr 10, 2024 | |
| Amber Tueller |
Corporate Officer |
Apr 10, 2024 | |
| Elliot McMillan |
Corporate Officer |
Dec 15, 2022 | |
| Chelsea Srene Robinson |
W-2 Managing Employee |
Jan 15, 2026 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Dec 15, 2022 | Change of Ownership |
Qura Hospice Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230201000081 | CA | Part a Provider - Hospice | 3375944788 | Practice locations: El Dorado Hills, CA |
National Provider Directory
- Tax ID family
- First Call Home Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642
Mailing address
4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642
Phone (916) 281-4414
Other names
- First Call Hospice South
Other providers in El Dorado Hills, CA
- S.Y. Jang DDS Corporatiom
- S.Y.Y Jang DDS Corp
- Neil Saboor
- Sussan Saboor
- Sacramento Addiction Rehab LLC
- Alisha Sadiq
- Jillian Saenz
- Safeway Inc
- Safeway Inc
- Marisa Sakellariou
All providers in El Dorado Hills, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.