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SUNRISE TREATMENT CENTER - OTR NPI 1205435369


NPI Information

NPI: 1205435369
Provider Name: SUNRISE TREATMENT CENTER - OTR

Doing Business As: SUNRISE TREATMENT CENTER - OTR

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2199648

Address:
1718 CENTRAL PKWY
CINCINNATI, OH
ZIP 45214
Phone: (513) 941-4999
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SUNRISE TREATMENT CENTER - OTR is a rehabilitation and substance use disorder clinic center in Cincinnati, OH. SUNRISE TREATMENT CENTER - OTR NPI is 1205435369. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Treatment Center - Otr.

The provider's business location address is:

1718 CENTRAL PKWY
CINCINNATI, OH
ZIP 45214-355
Phone: (513) 941-4999

The provider's authorized official is Steven Henry. Smith .
The authorized official title is Coo and has the following contact phone number (513) 467-3772.

The CLIA number assigned to this NPI record is 36D2199648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 3/24/2022.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
10078786MEDICAIDOHIO
20313320MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.