NPIMap

Organization Active NPI

Sunrise Children'S Services, Inc.

  • Professional Counselor
  • Elizabethtown, KY
National Provider Identifier
1962083014
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUNRISE CHILDREN'S SERVICES, INC.
Practice address
1030 Commerce Dr
Elizabethtown, KY 42701-1281
Phone
(270) 506-1064
NPI assigned
Apr 20, 2021
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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1030 Commerce Dr
Elizabethtown, KY 42701-1281

Mailing address

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

Other names 1

  • Glen Dale Center Doing business as

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1962083014",
    "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",
            "fax_number": "502-538-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COMMERCE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011281",
            "telephone_number": "270-506-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CHILDREN'S SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "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": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Dale Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glen Dale Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.