SUNRISE DETOX III, LLC – NPI #1700135399
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

SUNRISE DETOX III, LLC is a community based residential treatment facility located in FORT LAUDERDALE, FL. NPPES has assigned the NPI number 1700135399 to SUNRISE DETOX III, LLC on August 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Oct 11, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNRISE DETOX III, LLC below.

NPI Profile for
SUNRISE DETOX III, LLC

NPI Number
1700135399
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUNRISE DETOX III, LLC
Primary location
2331 NE 53RD ST
FORT LAUDERDALE, FL 33308-3235
Phone: (954) 491-9700 Fax: (561) 228-0836
Mailing address
2328 10TH AVE N
#301
LAKE WORTH, FL 33461-6606
Phone: (561) 318-4414 Fax: (561) 533-3832
Organization Subpart
No
Authorized Official
JASON USILTON
DIRECTOR
Phone: (561) 318-4400
Updated
Certification Date
Oct 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
324500000X
- Substance Abuse Rehabilitation Facility
FL 1706AD576201

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.