1205435369 NPI number — SUNRISE TREATMENT CENTER - OTR

Table of content: (NPI 1205435369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205435369 NPI number — SUNRISE TREATMENT CENTER - OTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUNRISE TREATMENT CENTER - OTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SUNRISE TREATMENT CENTER - OTR
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205435369
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6460 HARRISON AVE. SUITE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45247-7957
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-467-2825
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1718 CENTRAL PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45214-2355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-941-4999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2020

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
HENRY.
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
513-467-3772

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0313320 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0078786 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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