Sunrise Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUNRISE RECOVERY LLC

Practice address

628 Eastern Blvd
Clarksville, IN 47129-2454

Phone

(877) 978-6747

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Brandy Phillips

Title

Coo

Phone

(502) 963-2575

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sunrise Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sunrise Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Lafayette, IN
  • NPI 1083449219
  NPD tax ID
• Sunrise Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Clarksville, IN
  • NPI 1780161067
  NPD tax ID

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1922879980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 ALLISON LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305376",
            "telephone_number": "877-978-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 EASTERN BLVD",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292454",
            "telephone_number": "877-978-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-963-2575"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra N Stroud, RBT
• Lee Anissa Stull, RPH
• Mason Sullivan, DPT
• Skye Summers
• Sunrise Recovery LLC
• SVS Vision Inc
• Maya Swan
• Sweet Water Midwifery Services LLC
• Audrey Elizabeth Sweetland
• Sydnor Enterprises, LLC (Kentuckiana Medical Clinic)

• Substance Abuse Rehabilitation Facility in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.