SUNRISE DETOX III LLC NPI 1700135399

NPI Information

  • NPI: 1700135399
  • Provider Name: SUNRISE DETOX III, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • CLIA Number: 10D2043164
  • Address: 2331 NE 53RD ST
    FORT LAUDERDALE, FL
    ZIP 33308
  • Phone: (954) 491-9700

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NPI Details

SUNRISE DETOX III, LLC is a community based residential treatment facility mental illness in Fort Lauderdale, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SUNRISE DETOX III, LLC NPI is 1700135399. The provider is registered as an organization entity type.

The provider's business location address is:

2331 NE 53RD ST
FORT LAUDERDALE, FL
ZIP 33308-235
Phone: (954) 491-9700
Fax: (561) 228-0836

The provider's authorized official is Jason Usilton .
The authorized official title is Director and has the following contact phone number (561) 318-4400.

The CLIA number assigned to this NPI record is 10D2043164 - other - medical detox facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 10/11/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility1706AD576201FLORIDANo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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