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BEHAVIORAL HEALTH SPECIALISTS SUNRISE PLACE NPI 1922160969


NPI Information

NPI: 1922160969
Provider Name: BEHAVIORAL HEALTH SPECIALISTS SUNRISE PLACE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 28D2056165

Address:
1900 VICKI LN
NORFOLK, NE
ZIP 68701
Phone: (402) 379-0040
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BEHAVIORAL HEALTH SPECIALISTS SUNRISE PLACE is a substance abuse rehabilitation facility in Norfolk, NE. The provider is 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. BEHAVIORAL HEALTH SPECIALISTS SUNRISE PLACE NPI is 1922160969. The provider is registered as an organization entity type.

The provider's business location address is:

1900 VICKI LN
NORFOLK, NE
ZIP 68701-558
Phone: (402) 379-0040
Fax: (402) 379-0759

The provider's authorized official is Jay M Fleece .
The authorized official title is Executive Director and has the following contact phone number (402) 370-3140.

The CLIA number assigned to this NPI record is 28D2056165 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilitySATC034NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025873300MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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