SUNRISE RECOVERY LLC NPI 1922879980

NPI Information

NPI: 1922879980
Provider Name: SUNRISE RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 15D2299075

Address:
628 EASTERN BLVD
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 1922879980. The provider is registered as an organization entity type.

The provider's business location address is:

628 EASTERN BLVD
CLARKSVILLE, IN
ZIP 47129-454
Phone: (877) 978-6747

The provider's authorized official is Brandy Phillips .
The authorized official title is Coo and has the following contact phone number (502) 963-2575.

The CLIA number assigned to this NPI record is 15D2299075 - other - inpatient residential tre with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2024 and was last updated on 1/9/2024.

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				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: 5/5/2024

NPI Synchronization or Removal

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