GLEN DALE CENTER
NPI 1427639574
Substance Abuse Rehabilitation Facility in Elizabethtown, KY

Q: What is Sunrise Children's Services, Inc.'s NPI number?

The NPI number for Sunrise Children's Services, Inc. is 1427639574. It was assigned to this organization in the NPPES registry on April 20, 2021. The provider is doing business as Glen Dale Center.

Q: What is Sunrise Children's Services, Inc.'s specialty?

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

Active since April 20, 2021CLIA 18D1025563 · Waiver

1030 COMMERCE DR, ELIZABETHTOWN, KY 42701(270) 506-1064 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2022, Apr 20, 2021 (2 updates tracked since 2021).

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About Glen Dale Center NPPES

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

GLEN DALE CENTER (NPI 1427639574) is a healthcare organization registered as a substance abuse rehabilitation facility in Elizabethtown, Kentucky and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Sharon C' De Baca, Executive Assistant To President, as its authorized official.

NPPES Registry Identity

NPI1427639574

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSUNRISE CHILDREN'S SERVICES, INC.

Location Address1030 COMMERCE DRElizabethtown, KY 42701-1281

Mailing AddressPo Box 1429Mt Washington, KY 40047-1429 · (502) 538-1000 · Fax (502) 538-1100

Phone(270) 506-1064

Organization SubpartNo

Authorized OfficialSharon C' De BacaExecutive Assistant To President · (502) 538-1010

Enumeration DateApril 20, 2021

Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1427639574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1030 COMMERCE DR, Elizabethtown, KY 42701

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Other Names 1

Doing Business AsGlen Dale Center

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 18D1025563

Glen Dale Center · Elizabethtown, KY

Active · expires Jun 24, 2027

CLIA Number18D1025563

Laboratory TypeOther

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorMs. Tammy Hilbert

Laboratory Phone(502) 245-2101

Laboratory LocationGlen Dale Center1030 Commerce Drive, Elizabethtown, KY 42701

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 5

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

CUMBERLAND FAMILY MEDICAL CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))