NPIMap

Organization Active NPI

Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portsmouth, OH
National Provider Identifier
1407502883
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUNRISE TREATMENT CENTER, LLC
Practice address
1907 11TH St
Portsmouth, OH 45662-4531
Phone
(513) 941-4999
NPI assigned
Feb 24, 2022
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNRISE TREATMENT CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Nichole Lair
Title
Credentialing Manager
Phone
(513) 941-4999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1907 11TH St
Portsmouth, OH 45662-4531

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7821
Phone (513) 941-4999

Other identifiers 2

IdentifierTypeStateIssuer
0313320MedicaidOH
0078786MedicaidOH

Other names 1

  • Sunrise Treatment Center - Portsmouth Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180313001475 OH Part B Supplier - Clinic/Group Practice 8628336617 Receives reassigned benefits from 12 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, OH; West Union, OH; Portsmouth, OH; Piqua, OH; Milford, OH; Dayton, OH; Columbus, OH; Cincinnati, OH…
O20191217002920 OH Part B Supplier - Opioid Treatment Program (Otp) 8628336617 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Union, OH; Springfield, OH; Portsmouth, OH; Piqua, OH; Milford, OH; Dayton, OH; Columbus, OH; Cincinnati, OH…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2259585Sunrise Treatment Center1907 11TH Street, Portsmouth, OH 45662Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Treatment Center LL15 organizations share this tax ID, including this one
Part of
Sunrise Treatment Center LL

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1407502883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477821",
            "telephone_number": "513-941-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624531",
            "telephone_number": "513-941-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE TREATMENT CENTER, LLC",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LAIR",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "513-941-4999"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313320",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Treatment Center - Portsmouth",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunrise Treatment Center - Portsmouth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.