NPIMap

Organization Active NPI

Sacramento River Healthcare LLC

Doing business as First Call Hospice South

  • Community Based Hospice Care Agency
  • El Dorado Hills, CA
National Provider Identifier
1407565997
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SACRAMENTO RIVER HEALTHCARE LLC
Doing business as
First Call Hospice South
Practice address
4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642
Phone
(916) 281-4414
NPI assigned
Nov 23, 2022
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

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 1

  • First Call Hospice South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201000081 CA Part A Provider - Hospice 3375944788 Practice locations: El Dorado Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407565997. Details of each certification follow.

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
LLCProprietary
Incorporated
Apr 22, 2021 in NV
Enrollment address
4993 Golden Foothill Pkwy
Ste 3
El Dorado Hills, CA 95762-9642

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
First Call Hospice SouthCCN B31707 · All quality measures
Certified
Mar 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2293860First Call Hospice South4993 Golden Foothill Pkwy Ste 3, El Dorado Hills, CA 95762Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
First Call Home Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4993 Golden Foothill Pkwy
Ste 3
El Dorado Hills, CA 95762
Phone (916) 281-4414

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jesse Allande Individual W-2 Managing EmployeeAdministrator Designee & DPCS Aug 24, 2021
Gregory G Smith Individual Contracted Managing EmployeeMD; Sep 18, 2023
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 15, 2022 100%
Arpine Adamyan Individual W-2 Managing EmployeeAd;Executive Director/Administrator Apr 8, 2026
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Dec 15, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 15, 2022 100%
John J Gochnour Individual Corporate OfficerPresident/LLC Manager Apr 10, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Dec 15, 2022
Chelsea Srene Robinson Individual W-2 Managing EmployeeDPCS Designee Jan 15, 2026

Owners & managing parties with NPI records 2

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

Facilities with the same owner 141

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

View all 141

Change-of-ownership history 1

DateEventCounterparty
Dec 15, 2022 Change of OwnershipThis provider was the buyer Qura Hospice IncCCN B31707, CA, NPI 1336764620

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1407565997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4993 GOLDEN FOOTHILL PKWY STE 3",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629642",
            "telephone_number": "916-281-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4993 GOLDEN FOOTHILL PKWY STE 3",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629642",
            "telephone_number": "916-281-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO RIVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Call Hospice South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Call Hospice South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.