Organization Active NPI

Sunrise Detox Lake Worth Beach FL, LLC

  • Substance Abuse Rehabilitation Facility
  • Lake Worth Beach, FL
National Provider Identifier
1023952405
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SUNRISE DETOX LAKE WORTH BEACH FL, LLC
Practice address
3185 Boutwell Rd
Lake Worth Beach, FL 33461-2610
Phone
(561) 533-0074
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Isidore Bleier
Title
Authorized Official
Phone
(732) 948-9995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3185 Boutwell Rd
Lake Worth Beach, FL 33461-2610

Mailing address

PO Box 1575
Lakewood, NJ 08701-1018

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1023952405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 BOUTWELL RD",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334612610",
            "telephone_number": "561-533-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOX LAKE WORTH BEACH FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "BLEIER",
        "authorized_official_first_name": "ISIDORE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-948-9995"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.