SUNRISE DETOXIFICATION CENTER, LLC – NPI #1154484103
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

SUNRISE DETOXIFICATION CENTER, LLC is a substance abuse rehabilitation facility located in LAKE WORTH, FL. NPPES has assigned the NPI number 1154484103 to SUNRISE DETOXIFICATION CENTER, LLC on December 19, 2006. 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 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Oct 05, 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 DETOXIFICATION CENTER, LLC below.

NPI Profile for
SUNRISE DETOXIFICATION CENTER, LLC

NPI Number
1154484103
Enumeration Date

(more than 19 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 DETOXIFICATION CENTER, LLC
Primary location
3185 BOUTWELL RD
LAKE WORTH, FL 33461
Phone: (561) 533-0074 Fax: (561) 533-8077
Mailing address
2328 10TH AVE #301
LAKE WORTH, FL 33461
Phone: (561) 318-4414 Fax: (561) 423-0363
Organization Subpart
No
Authorized Official
STOKES AITKEN
COO
Phone: (561) 318-4411
Updated
Certification Date
Oct 05, 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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
FL 0950AD113400
320800000X
- Community Based Residential Treatment Facility, Mental Illness

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.