Organization Active NPI

Sunrise Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1992043053
Registry record updated Jun 3, 2026
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
6460 Harrison Ave
Cincinnati, OH 45247-7821
Phone
(513) 941-4999
Fax
(513) 694-0168
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Nichole Lair
Title
Credentialing Manager
Phone
(513) 941-4999

Specialties & licenses 2

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

Addresses

Primary practice location

6460 Harrison Ave
Cincinnati, OH 45247-7821

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7821
Phone (513) 467-2825

Other identifiers 1

IdentifierTypeStateIssuer
0078786MedicaidOH

Other names 1

  • Sunrise Treatment Center - West Side Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180313001475 OH Part B Supplier - Clinic/Group Practice 8628336617 Receives reassigned benefits from 12 practitioners
11 other NPIs on this enrollment
Practice locations: Springfield, OH; West Union, OH; Portsmouth, OH; Piqua, OH; Milford, OH; Dayton, OH; Columbus, OH; Cincinnati, OH…
O20191217002920 OH Part B Supplier - Opioid Treatment Program (Otp) 8628336617 10 other NPIs on this enrollment
Practice locations: West Union, OH; Springfield, OH; Portsmouth, OH; Piqua, OH; Milford, OH; Dayton, OH; Columbus, OH; Cincinnati, OH…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1718 Central Pkwy
Cincinnati, OH 45214
Phone (513) 467-2825

160 N Breiel Blvd
Middletown, OH 45042
Phone (513) 467-2825

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1992043053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477821",
            "telephone_number": "513-467-2825",
            "fax_number": "513-694-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6460 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477821",
            "telephone_number": "513-941-4999",
            "fax_number": "513-694-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LAIR",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "513-941-4999"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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": "0078786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Treatment Center - West Side",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.