MEDICARE: SIERRA HEALTH AND WELLNESS CENTERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility
2	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1235993882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIERRA HEALTH AND WELLNESS CENTERS LLC

Provider Business Mailing Address
First Line	:	9985 FOLSOM BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-1405
Country	:	US
Telephone Number	:	866-303-6275
Fax Number	:	530-430-3067

Provider Business Practice Location Address
First Line	:	5448 FAIR OAKS BLVD
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-5747
Country	:	US
Telephone Number	:	866-303-6275
Fax Number	:	530-430-3067

Authorized Official
Title or Position	:	CHIEF REVENUE OFFICER
Name	:	MS. LIEN THI HOANG
Credential	:
Telephone Number	:	702-205-8232

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	02/05/2026

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