NPIMap

Organization Active NPI

Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Florence, KY
National Provider Identifier
1891435467
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUNRISE TREATMENT CENTER, LLC
Practice address
7075 Industrial Rd
Florence, KY 41042-3053
Phone
(513) 941-4999
NPI assigned
Mar 31, 2022
Organization subpart
Yes
Parent organization
SUNRISE TREATMENT CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Randy Scott Spaulding
Title
Credentialing
Phone
(513) 941-9999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7075 Industrial Rd
Florence, KY 41042-3053

Mailing address

6460 Harrison Ave. Suite 200
Cincinnati, OH 45247
Phone (513) 467-2825

Other identifiers 3

IdentifierTypeStateIssuer
0473452MedicaidOH
7100776770MedicaidKY
0473839MedicaidOH

Other names 2

  • Sunrise Treatment Center Other name
  • Sunrise Treatment Center - Florence Other name

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
18D2227176Sunrise Treatment Center-Florence7075 Industrial Road Suite a, Florence, KY 41042Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Treatment Center LL15 organizations share this tax ID, including this one
Part of
Sunrise Treatment Center LL

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1891435467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE. SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45247",
            "telephone_number": "513-467-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 INDUSTRIAL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423053",
            "telephone_number": "513-941-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE TREATMENT CENTER, LLC",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "513-941-9999"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473452",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100776770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Treatment Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunrise Treatment Center - Florence",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunrise Treatment Center - Florence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.