SUNRISE CHILDREN'S SERVICES INC. NPI 1821432394

NPI Information

  • NPI: 1821432394
  • Provider Name: SUNRISE CHILDREN'S SERVICES, INC.
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Doing Business As: GLEN DALE CENTER
  • CLIA Number: 18D1025563
  • Address: 1030 COMMERCE DR
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 506-1064

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NPI Details

SUNRISE CHILDREN'S SERVICES, INC. is a residential treatment facility emotionally disturbed children in Elizabethtown, KY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SUNRISE CHILDREN'S SERVICES, INC. NPI is 1821432394. The provider is registered as an organization entity type.
The provider Is Doing Business As Glen Dale Center.

The provider's business location address is:

1030 COMMERCE DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-1064

The provider's authorized official is Sharon C' De Baca .
The authorized official title is Executive Assistant To President and has the following contact phone number (502) 538-1010.

The CLIA number assigned to this NPI record is 18D1025563 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2013 and was last updated on 10/25/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children500024KENTUCKYYes

What is NPI?

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This page was last updated on: 11/21/2025

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