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SUNRISE DETOX MILLBURY LLC
NPI 1093297673
Community Based Residential Treatment Facility, Mental Illness in Millbury, MA

Active since August 30, 2018CLIA 22D2154738 · Waiver
29 MAIN ST, MILLBURY, MA 01527(508) 581-5225(508) 865-2823 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Oct 5, 2023, Nov 15, 2018 and 3 more (6 updates tracked since 2018).

About Sunrise Detox Millbury Llc NPPES

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

SUNRISE DETOX MILLBURY LLC (NPI 1093297673) is a healthcare organization registered as a community based residential treatment facility, mental illness in Millbury, Massachusetts and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Joseph M Chelales, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093297673
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSUNRISE DETOX MILLBURY LLC
Location Address29 MAIN STMillbury, MA 01527-2005
Mailing AddressPo Box 12586Newark, NJ 07101-3562 · (508) 581-5225 · Fax (508) 865-2823
Phone(508) 581-5225
Fax(508) 865-2823
Organization SubpartNo
Authorized OfficialJoseph M ChelalesAdministrator · (646) 285-4035
Enumeration DateAugust 30, 2018
Last NPPES UpdateOctober 11, 20236 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1093297673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
29 MAIN ST, Millbury, MA 01527
Open in Google Maps ↗

Other Identifiers 1

OtherXX-XXX9587MA · Tin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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 22D2154738

Sunrise Detox Millbury, LLC · Millbury, MA
Active · expires Sep 17, 2026
CLIA Number22D2154738
Laboratory TypeIndependent
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Susana Lugo
Laboratory Phone(908) 265-7160
Laboratory LocationSunrise Detox Millbury, LLC29 Main St, Millbury, MA 01527
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILARY AIKEN
Counselor (Addiction (Substance Use Disorder))
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 876-3223
MR. THOMAS VILLA
Counselor
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 876-3223
BREANNA SHANNON GAGLIARDI
Counselor (Addiction (Substance Use Disorder))
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 876-3223
MICHAEL JEROME OLIVER
Counselor (Addiction (Substance Use Disorder))
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 506-8940
DANIEL BALLARD
Counselor (Addiction (Substance Use Disorder))
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 506-8940
CYNTHIA ANN GAINES CADC, LADC-II
Counselor (Addiction (Substance Use Disorder))
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 785-4990
MS. ERIKA LYNNE JACKSON N/A
Social Worker
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 581-5225
RADIUS MILLBURY OPERATING LLC
Skilled Nursing Facility
29 MAIN ST
MILLBURY, MA 01527
Worcester County (508) 865-6106

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 Millbury LLC's NPI number?

The NPI number for Sunrise Detox Millbury LLC is 1093297673. It was assigned to this organization in the NPPES registry on August 30, 2018.

Where is Sunrise Detox Millbury LLC located?

Sunrise Detox Millbury LLC is located at 29 Main St, Millbury, MA 01527. The listed phone number is (508) 581-5225.

What is Sunrise Detox Millbury LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Sunrise Detox Millbury LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2154738) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunrise Detox Millbury LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sunrise Detox Millbury LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunrise Detox Millbury LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.