SUNRISE DETOX III, LLC
NPI 1700135399
Community Based Residential Treatment Facility, Mental Illness in Fort Lauderdale, FL
NPI Status: Active since August 29, 2012
Contact Information
2331 NE 53RD ST
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 491-9700
Fax: (561) 228-0836
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 10D2043164
- CLIA Cert. Type: Other - MEDICAL DETOX FACILITY
- CLIA Exp. Date: 06-27-2026
About SUNRISE DETOX III, LLC
This page provides the complete NPI Profile along with additional information for Sunrise Detox Iii, Llc, a provider established in Fort Lauderdale, Florida operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1700135399 assigned on August 2012. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Jason Usilton (Director)
- NPI
- 1700135399
- Provider Name
- SUNRISE DETOX III, LLC
- Entity Type
- Organization
- Location Address
- 2331 NE 53RD ST FORT LAUDERDALE, FL 33308
- Location Phone
- (954) 491-9700
- Location Fax
- (561) 228-0836
- Mailing Address
- 2328 10TH AVE N #301 LAKE WORTH, FL 33461
- Mailing Phone
- (561) 318-4414
- Mailing Fax
- (561) 228-0836
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2012
- Last Update Date
- 10-11-2023
- Code Navigator
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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 1706AD576201 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Clarity Silver - HMO
- Clarity VALUE Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Elite Bronze - HMO
- Elite Bronze + 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
- Standard Expanded Bronze VALUE - 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
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + 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
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D2043164
- Facility Type
- Other - MEDICAL DETOX FACILITY
- Certificate Effective Date
- June 28, 2024
- Certificate Expiration Date
- June 27, 2026
- Laboratory Director
- ROBERT R. YODASHKIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sunrise Detox Iii, 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 DETOX III, LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700135399, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
FT LAUDERDALE, FL 33308
FT LAUDERDALE, FL 33308
FT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700135399, enumerated as an "organization" on August 29, 2012.
The provider is located at 2331 NE 53RD ST FORT LAUDERDALE, FL 33308 and the phone number is (954) 491-9700.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.
