Sunrise Behavioral Health, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SUNRISE BEHAVIORAL HEALTH, LLC

Practice address

9280 W Sunnyslope LN
Peoria, AZ 85345-6308

Phone

(623) 242-6408

Fax

(623) 242-7158

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Regina Williams

Title

Owner-Manager

Phone

(623) 242-6408

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Behavioral Health Doing business as

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1346664067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNNYSLOPE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456308",
            "telephone_number": "623-242-6408",
            "fax_number": "623-242-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNNYSLOPE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456308",
            "telephone_number": "623-242-6408",
            "fax_number": "623-242-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "623-242-6408"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.