NPIMap

Organization Active NPI

Sunrise Children'S Services, Inc.

  • Community/Behavioral Health Agency
  • Pikeville, KY
National Provider Identifier
1720456403
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1031 Issued in KY
Legal business name
SUNRISE CHILDREN'S SERVICES, INC.
Practice address
123 Weddington Branch Rd
Pikeville, KY 41501
Phone
(606) 432-7001
NPI assigned
Sep 11, 2015
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 1031 KY Primary

Addresses

Primary practice location

123 Weddington Branch Rd
Pikeville, KY 41501

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7100326270MedicaidKY

Other names 1

  • Pikeville Family Services Doing business as

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
18D1025574Sunrise Children'S Services Eastern Mountain123 Weddington Park, Pikeville, KY 41501Certificate of waiverJan 3, 2027

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": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1720456403",
    "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": "123 WEDDINGTON BRANCH RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "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": "1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikeville, 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.
  • 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.