NPIMap

Organization Active NPI

Solacium Sunrise, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Washington, UT
National Provider Identifier
1861249492
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
SOLACIUM SUNRISE, LLC
Practice address
3611 S Camino Real
Washington, UT 84780-8396
Phone
(435) 900-5450
NPI assigned
May 1, 2024
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOLACIUM SUNRISE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Sharnell Spencer
Title
Credentialing Manager
Phone
(661) 239-6923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3611 S Camino Real
Washington, UT 84780-8396

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Other names 1

  • Sunrise Residential Treatment Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Solacium Sunrise LLC3 organizations share this tax ID, including this one
Part of
Solacium Sunrise LLC

Other organizations with this tax ID 2

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

Locations

3611 S Camino Real
Washington, UT 84780
Phone (435) 627-5197

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1861249492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S CAMINO REAL",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808396",
            "telephone_number": "435-900-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACIUM SUNRISE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLACIUM SUNRISE, LLC",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHARNELL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "661-239-6923"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Residential Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.