NPIMap

Organization Active NPI

Sunrise Children's Services, Inc.

Doing business as Woodlawn PRTF East

  • Psychiatric Residential Treatment Facility
  • Danville, KY
National Provider Identifier
1467633107
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SUNRISE CHILDREN'S SERVICES, INC.
Doing business as
Woodlawn PRTF East
Practice address
400 Cunningham Way
Danville, KY 40422
Phone
(859) 236-5507
Fax
(859) 236-7044
NPI assigned
Nov 23, 2007
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Sharon C' de Baca
Title
Executive Assistant to President
Phone
(502) 538-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

400 Cunningham Way
Danville, KY 40422

Mailing address

300 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100049560MedicaidKY

Other names 1

  • Woodlawn PRTF East Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Children's Services Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1467633107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOPE ST",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477757",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CUNNINGHAM WAY",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-236-5507",
            "fax_number": "859-236-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "C' DE BACA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO PRESIDENT",
        "authorized_official_telephone_number": "502-538-1010"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100049560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlawn PRTF East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlawn PRTF East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.