Organization Active NPI

Sunrise Detox Fort Lauderdale FL, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Fort Lauderdale, FL
National Provider Identifier
1629912001
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SUNRISE DETOX FORT LAUDERDALE FL, LLC
Practice address
2331 NE 53Rd St
Fort Lauderdale, FL 33308-3235
Phone
(954) 491-9700
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Joel Hersko
Title
Authorized Official
Phone
(347) 661-0013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2331 NE 53Rd St
Fort Lauderdale, FL 33308-3235

Mailing address

PO Box 1575
Lakewood, NJ 08701-1018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1629912001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 NE 53RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083235",
            "telephone_number": "954-491-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DETOX FORT LAUDERDALE FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "HERSKO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "347-661-0013"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.