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SUNRISE RECOVERY LLC NPI 1780161067


NPI Information

NPI: 1780161067
Provider Name: SUNRISE RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 15D2185200

Address:
1610 BLACKISTON VIEW DR
CLARKSVILLE, IN
ZIP 47129
Phone: (877) 978-6747
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SUNRISE RECOVERY LLC is a substance abuse rehabilitation facility in Clarksville, IN. 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. SUNRISE RECOVERY LLC NPI is 1780161067. The provider is registered as an organization entity type.

The provider's business location address is:

1610 BLACKISTON VIEW DR
CLARKSVILLE, IN
ZIP 47129-013
Phone: (877) 978-6747
Fax: (812) 924-7625

The provider's authorized official is Brandy Phillips .
The authorized official title is Chief Operating Officer and has the following contact phone number (812) 924-7547.

The CLIA number assigned to this NPI record is 15D2185200 - other - outpatient office iop/ph with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 9/19/2023.


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 FacilityYes

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: 5/5/2024

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