SUNRISE DETOXIFICATION CENTER, LLC
NPI 1154484103
Substance Abuse Rehabilitation Facility in Lake Worth, FL

NPI Status: Active since December 19, 2006

Contact Information

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461
Phone: (561) 533-0074
Fax: (561) 533-8077

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 10D1051099
  • CLIA Cert. Type: Other - DETOX CENTER
  • CLIA Exp. Date: 02-21-2026

About SUNRISE DETOXIFICATION CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sunrise Detoxification Center, Llc, a provider established in Lake Worth, Florida operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1154484103 assigned on December 2006. The practitioner's primary taxonomy code is 324500000X with license number 0950AD113400 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Stokes Aitken (Coo)

NPI
1154484103
Provider Name
SUNRISE DETOXIFICATION CENTER, LLC
Entity Type
Organization
Location Address
3185 BOUTWELL RD LAKE WORTH, FL 33461
Location Phone
(561) 533-0074
Location Fax
(561) 533-8077
Mailing Address
2328 10TH AVE #301 LAKE WORTH, FL 33461
Mailing Phone
(561) 318-4414
Mailing Fax
(561) 533-8077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2006
Last Update Date
10-05-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
0950AD113400
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STOKES AITKEN

Authorized Official Title
COO
Authorized Official Phone
(561) 318-4411

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1051099
Facility Type
Other - DETOX CENTER
Certificate Effective Date
February 22, 2024
Certificate Expiration Date
February 21, 2026
Laboratory Director
JASON MCALEVY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sunrise Detoxification Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SUNRISE DETOXIFICATION CENTER, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154484103
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110488810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 8 + 8 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1154484103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

BOUTWELL MEDICAL ASSOCIATES, LLC

Internal Medicine

(Addiction Medicine)

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

10TH AVE MEDICAL ASSOCIATES, LLC

Psychiatry & Neurology

(Addiction Psychiatry)

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

SUNRISE DIAGNOSTICS GROUP, LLC

Clinical Medical Laboratory

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 748-2889

VIBRO AT LAKE WORTH LLC

Psychiatry & Neurology

(Addiction Medicine)

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

CHIRO AT LAKE WORTH LLC

Chiropractor

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

SUNSHINE PSYCHIATRIC SYSTEMS ASSOCIATES LLC

Nurse Practitioner

(Psychiatric/Mental Health)

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

SUNSHINE MEDICAL SYSTEMS ASSOCIATES LLC

Internal Medicine

(Addiction Medicine)

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461

(561) 533-0074

BRYCE JAMES ROSEN

Counselor

(Mental Health)

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

KEVIN W BIEMULLER RMHCI

Counselor

(Mental Health)

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

JOHN K HYNE

Counselor

(Mental Health)

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

AARON PETERSON MS

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

MATTHEW RAMIRO CAVAZOS

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

MRS. BRENDA FLORES CAP, ICADC

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

AARON BURTON

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

KAREN SUSAN GRIMES

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

KAYLA KEHOE

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 533-0074

MR. DENNIS ARON

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 621-2517

ASHLEY MEUS-T

Counselor

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 621-2517

JEFFREY RUSTY SMITH

Counselor

(Addiction (Substance Use Disorder))

3185 BOUTWELL RD
LAKE WORTH BEACH, FL
ZIP 33461

(561) 621-2517

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154484103, enumerated as an "organization" on December 19, 2006.

The provider is located at 3185 BOUTWELL RD LAKE WORTH, FL 33461 and the phone number is (561) 533-0074.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to verify.