Sunrise Detoxification Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

0950AD113400 Issued in FL

Legal business name

SUNRISE DETOXIFICATION CENTER, LLC

Practice address

3185 Boutwell Rd
Lake Worth, FL 33461

Phone

(561) 533-0074

Fax

(561) 533-8077

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Stokes Aitken

Title

Coo

Phone

(561) 318-4411

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Opioid treatment program

Medicare-enrolled since Jan 2, 2026

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheena Ausirus, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1346739356
  NPD
• Tamala Russell, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1639414337
  NPD
• Robert Yodashkin, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Delray Beach, FL
  • NPI 1144386863
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1154484103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE #301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-318-4414",
            "fax_number": "561-423-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 BOUTWELL RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-533-0074",
            "fax_number": "561-533-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOXIFICATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "AITKEN",
        "authorized_official_first_name": "STOKES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-318-4411"
    },
    "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": "FL",
            "license": "0950AD113400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Detox LLC
• Jenny K Sung, OTR
• Sunrise Adult Care Inc
• Sunrise Behavior Therapy LLC
• Sunrise Community Mental Health Center Corp
• Sunrise Diagnostics Group, LLC
• Sunshine Medical Systems Associates LLC
• Sunshine Psychiatric Systems Associates LLC
• Sunshine Quality Care, LLC
• Sunshine Rehab and Wellness Center LLC

• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.