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SUNRISE DETOX DULUTH GA, LLC
NPI 1013859271
Substance Abuse Rehabilitation Facility in Duluth, GA

Active since April 07, 2026CLIA 11D2254033 · Waiver
3390 N BERKELEY LAKE RD NW STE A, DULUTH, GA 30096(561) 318-4400 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Detox Duluth Ga, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE DETOX DULUTH GA, LLC (NPI 1013859271) is a healthcare organization registered as a substance abuse rehabilitation facility in Duluth, Georgia and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Joel Hersko, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013859271
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSUNRISE DETOX DULUTH GA, LLC
Location Address3390 N BERKELEY LAKE RD NW STE ADuluth, GA 30096-3006
Mailing AddressPo Box 1575Lakewood, NJ 08701-1018
Phone(561) 318-4400
Organization SubpartNo
Authorized OfficialJoel HerskoAuthorized Official · (347) 661-0013
Enumeration DateApril 7, 2026
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1013859271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
3390 N BERKELEY LAKE RD NW STE A, Duluth, GA 30096
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2254033

Sunrise Detox Duluth, LLC · Duluth, GA
Active · expires Feb 28, 2028
CLIA Number11D2254033
Laboratory TypeIndependent
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorThomas Locke
Laboratory Phone(470) 704-5010
Laboratory LocationSunrise Detox Duluth, LLC3390 North Berkeley Lake Road Suite A, Duluth, GA 30096
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Detox Duluth Ga, LLC's NPI number?

The NPI number for Sunrise Detox Duluth Ga, LLC is 1013859271. It was assigned to this organization in the NPPES registry on April 7, 2026.

Where is Sunrise Detox Duluth Ga, LLC located?

Sunrise Detox Duluth Ga, LLC is located at 3390 N Berkeley Lake Rd NW Ste A, Duluth, GA 30096. The listed phone number is (561) 318-4400.

What is Sunrise Detox Duluth Ga, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Sunrise Detox Duluth Ga, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2254033) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Detox Duluth Ga, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.