SUNRISE DETOX CHERRY HILL LLC
NPI 1295110179
Community Based Residential Treatment Facility, Mental Illness in Cherry Hill, NJ

Q: What is Sunrise Detox Cherry Hill LLC's NPI number?

The NPI number for Sunrise Detox Cherry Hill LLC is 1295110179. It was assigned to this organization in the NPPES registry on July 21, 2015.

Q: What is Sunrise Detox Cherry Hill LLC's specialty?

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

Active since July 21, 2015CLIA 31D2097428 · Waiver

1417 BRACE RD, CHERRY HILL, NJ 08034(561) 318-4409 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 (2 updates tracked since 2023).

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About Sunrise Detox Cherry Hill Llc NPPES

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

SUNRISE DETOX CHERRY HILL LLC (NPI 1295110179) is a healthcare organization registered as a community based residential treatment facility, mental illness in Cherry Hill, New Jersey and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists James Stokes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295110179

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameSUNRISE DETOX CHERRY HILL LLC

Location Address1417 BRACE RDCherry Hill, NJ 08034-3524

Mailing Address2328 10th Ave N Fl 3Lake Worth, FL 33461-6606

Phone(561) 318-4409

Organization SubpartNo

Authorized OfficialJames StokesCeo · (516) 318-4455

Enumeration DateJuly 21, 2015

Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1295110179 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

1417 BRACE RD, Cherry Hill, NJ 08034

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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 31D2097428

Sunrise Detox Cherry Hill, LLC · Cherry Hill, NJ

Active · expires Jun 15, 2027

CLIA Number31D2097428

Laboratory TypeRes Detox Pnt Of Care

Certificate Effective DateJune 16, 2025

Certificate Expiration DateJune 15, 2027

Laboratory DirectorGregory Bunt

Laboratory Phone(856) 795-0036

Laboratory LocationSunrise Detox Cherry Hill, LLC1417 Brace Road, Suite C, Cherry Hill, NJ 08034

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 20

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

VIBRO AT CHERRY HILL LLC

Nurse Practitioner (Psychiatric/Mental Health)