NPIMap

Organization Active NPI

Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1427729474
Registry record updated Aug 30, 2024
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
6460 Harrison Ave. Suite 200
Cincinnati, OH 45247-7957
Phone
(513) 467-2825
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Randy Scott Spaulding
Title
Credentialing
Phone
(513) 941-4999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6460 Harrison Ave. Suite 200
Cincinnati, OH 45247-7957

Mailing address

6460 Harrison Ave. Suite 200
Cincinnati, OH 45247-7957
Phone (513) 467-2825

Other identifiers 1

IdentifierTypeStateIssuer
7100776770MedicaidKY

Other names 2

  • SUNRISE TREATMENT CENTER, LLC CORPORATE OFFICE (KY AODE) Other name
  • Sunrise Treatment Center Other name

National Provider Directory

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

Other organizations with this tax ID 14

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

View all 14

Locations

7075 Industrial Rd
Florence, KY 41042
Phone (859) 282-1770

25 Whitney Dr
Ste 122
Milford, OH 45150
Phone (513) 713-7241

247 Cic Blvd
West Union, OH 45693
Phone (937) 660-3400

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1427729474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE. SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477957",
            "telephone_number": "513-467-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE. SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477957",
            "telephone_number": "513-467-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "513-941-4999"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "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": "7100776770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE TREATMENT CENTER, LLC CORPORATE OFFICE (KY AODE)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunrise Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.