SUNRISE DETOX ORLANDO LLC – NPI #1790140408
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

SUNRISE DETOX ORLANDO LLC is a community based residential treatment facility located in ORLANDO, FL. NPPES has assigned the NPI number 1790140408 to SUNRISE DETOX ORLANDO LLC on December 22, 2015. 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 ORLANDO LLC below.

NPI Profile for
SUNRISE DETOX ORLANDO LLC

NPI Number
1790140408
Enumeration Date

(more than 10 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 ORLANDO LLC
Primary location
2431 SAND LAKE RD
ORLANDO, FL 32809-7641
Phone: (855) 876-8648 Fax:
Mailing address
2328 10TH AVE N STE 302
LAKE WORTH, FL 33461-6612
Phone: Fax:
Organization Subpart
No
Authorized Official
NICK MATTEO
CFO
Phone: (561) 318-4430
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

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.