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

South Lake Tahoe Recovery and Rehabilitation, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1043788359

South Lake Tahoe Recovery and Rehabilitation, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in South Lake Tahoe, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

591 Tahoe Keys Blvd Ste D2
South Lake Tahoe, CA 96150-3359
Phone: (530) 539-9029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1043788359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Tuddenham — Chief Operating Officer · (831) 740-4629
NPI enumeratedNovember 5, 2018
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address262 Gaffey Rd, Watsonville, CA 95076-9731