SUNRISE DETOX ORLANDO LLC NPI 1790140408

NPI Information

NPI: 1790140408
Provider Name: SUNRISE DETOX ORLANDO LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 10D2106507

Address:
2431 SAND LAKE RD
ORLANDO, FL
ZIP 32809
Phone: (855) 876-8648
Get Directions

SUNRISE DETOX ORLANDO LLC is a community based residential treatment facility mental illness in Orlando, 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 ORLANDO LLC NPI is 1790140408. The provider is registered as an organization entity type.

The provider's business location address is:

2431 SAND LAKE RD
ORLANDO, FL
ZIP 32809-641
Phone: (855) 876-8648

The provider's authorized official is Nick Matteo .
The authorized official title is Cfo and has the following contact phone number (561) 318-4430.

The CLIA number assigned to this NPI record is 10D2106507 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2015 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
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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

NPI Synchronization or Removal

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