SOLACIUM SUNRISE, LLC
NPI 1861249492
Residential Treatment Facility, Emotionally Disturbed Children in Washington, UT

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since May 01, 2024

3611 S CAMINO REAL, WASHINGTON, UT 84780(435) 900-5450 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2024, May 2, 2024 (2 updates tracked since 2024).

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NPI Profile Information
Primary Taxonomy
Authorized Official
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Organization
Residential Treatment Facility, Emotiona...

About SOLACIUM SUNRISE, LLC

This page provides the complete NPI Profile along with additional information for Solacium Sunrise, Llc, a provider established in Washington, Utah operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1861249492 assigned on May 2024. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Sharnell Spencer (Credentialing Manager)

NPI: 1861249492 Verify this NPI
Provider Name: SOLACIUM SUNRISE, LLC
Other Name Type: (6)
Entity Type: Organization
Location Address: 3611 S CAMINO REAL WASHINGTON, UT 84780
Location Phone: (435) 900-5450
Mailing Address: 5500 MING AVE STE 410 BAKERSFIELD, CA 93309
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-01-2024
Last Update Date: 04-18-2025
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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: Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Code: 322D00000X
Type: Residential Treatment Facilities
Taxonomy Description: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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: SHARNELL SPENCER
Authorized Official Title: CREDENTIALING MANAGER
Authorized Official Phone: (661) 239-6923