NPIMap

Organization Active NPI

Tahoe Forest Hospital District

  • Community Based Hospice Care Agency
  • Truckee, CA
National Provider Identifier
1497811012
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
10000755 Issued in CA
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Practice address
10875 Pioneer TRL
Truckee, CA 96161-0235
Phone
(530) 582-3244
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Crystal Felix
Title
Cfo
Phone
(530) 582-6656

Owners & managing parties with NPI records 13

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

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 11

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

Facilities with the same owner 9

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

Practitioners 140

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 140

Affiliated clinicians 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Tahoe Forest HospiceCCN 051732
Ownership
Combination Government & Non-Profit
Certified
Jul 23, 1999
Medicare certification status
Active (Provider of Services file)

Medicare participation

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

Hospice certification: CCN 051732

Medicare enrollment files
Legal name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
TAHOE FOREST HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 23, 1999
Last certification
Apr 11, 2019
Ownership / control type
Other
Organization structure
OtherNon-profit
Incorporated
Jul 23, 1999 in CA
Enrollment address
10875 Pioneer TRL
Truckee, CA 96161-0235

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Tahoe Forest Hospital District Organization, Truckee, CA 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Jason Dorst Individual Corporate OfficerCio Sep 2, 2014
Robert J Darzynkiewicz Individual Corporate DirectorBoard Member Dec 6, 2024
Dale Chamblin Individual Corporate DirectorBoard Member Dec 11, 2014
Kimberly McCarl Individual Corporate OfficerChief Strategy Officer Nov 17, 2025
Lauren Tracy Wills Zeffaro Individual W-2 Managing Employee Feb 9, 2026
Mary a Brown Individual Corporate DirectorBoard Member Jun 22, 2017
Louis Ward Individual Corporate OfficerCoo Jun 27, 2024
Michael McGarry Individual Corporate DirectorBoard Member Feb 27, 2020
Crystal Felix Individual Corporate OfficerCfo Jun 1, 2006
Alyce Wong Individual Corporate DirectorBoard Member Dec 15, 2016
Anna Roth Individual Corporate OfficerPresident and Ceo Mar 10, 2025

All facility ownership & control disclosures 9

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Incline Village Community HospitalIncline Village, NV, CCN 291301 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 6, 1996
Tahoe Forest HospitalTruckee, CA, CCN 051328 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 6, 2013
Tahoe Forest HospitalTruckee, CA, CCN 05Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Hospital SNFTruckee, CA, CCN 555231 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 22, 2012
Aug 22, 2012
Tahoe Forest Home Health ServicesTruckee, CA, CCN 057200 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1966
Tahoe Forest Multispecialty Clinic Pediatrics/Primary CareTruckee, CA, CCN 058707 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2011
Tahoe Forest Multispecialty Clinics-Im/CardTruckee, CA, CCN 058713 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2019
Tahoe Forest Multispecialty Clinic-Incline VillageIncline Village, NV, CCN 293992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2007
Jun 1, 2007
Tahoe Forest Multispecialty Clinic - Im/OBTruckee, CA, CCN 058724 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2007

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20130501000267 CA Part a Provider - Hospice 0446161335 Practice locations: Truckee, CA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 10000755 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

10875 Pioneer TRL
Truckee, CA 96161-0235

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 582-3244

Other names 1

NPPES NPI Registry
  • TAHOE FOREST HOSPICE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2026.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1497811012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-582-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PIONEER TRL",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610235",
            "telephone_number": "530-582-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE FOREST HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-582-6656"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "10000755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAHOE FOREST HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.