Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sacramento Outpatient Recovery Services LLC

Organization Case Manager/Care Coordinator · NPI 1134095540

Sacramento Outpatient Recovery Services LLC is a Case Manager/Care Coordinator in Sacramento, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 47th Ave Ste 106
Sacramento, CA 95824-3923
Phone: (916) 415-3411
Fax: (916) 415-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Supports Brokerage Agency Taxonomy 251X00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1134095540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Caraveo — Member/Ceo · (916) 415-3411
NPI enumeratedOctober 13, 2025
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address4600 47th Ave Ste 106, Sacramento, CA 95824-3923

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