NPIMap

Organization Active NPI

Sunrise Children'S Services, Inc.

  • Community/Behavioral Health Agency
  • Madisonville, KY
National Provider Identifier
1497097562
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1395 Issued in KY
Legal business name
SUNRISE CHILDREN'S SERVICES, INC.
Practice address
190 Madison Square Dr Ste B
Madisonville, KY 42431-2785
Phone
(270) 874-2560
NPI assigned
Mar 26, 2013
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
Community/Behavioral Health Agency 251S00000X 1395 KY Primary

Addresses

Primary practice location

190 Madison Square Dr Ste B
Madisonville, KY 42431-2785

Mailing address

PO Box 1429
Mt Washington, KY 40047-1429
Phone (502) 538-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100326270MedicaidKY

Other names 1

  • Family Services Madisonville 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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1497097562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400471429",
            "telephone_number": "502-538-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MADISON SQUARE DR STE B",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312785",
            "telephone_number": "270-874-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Services Madisonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, 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.