SUNRISE DETOX CHERRY HILL LLC – Mental Illness Community Based Residential Treatment Facility, NPI 1295110179

SUNRISE DETOX CHERRY HILL LLC is a healthcare provider. based in Lake worth, Florida. specializing in Mental Illness Community Based Residential Treatment Facility. The NPI Number for SUNRISE DETOX CHERRY HILL LLC is 1295110179

Main info

Organization
Name
SUNRISE DETOX CHERRY HILL LLC
NPI
1295110179
Phone
Not provided
Address
2328 10TH AVE N FL 3
Authorized Official
JAMES STOKES CEO
Enumeration Date
21 July 2015
Last Update Date
11 October 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for SUNRISE DETOX CHERRY HILL LLC

  • 2328 10TH AVE N FL 3

    LAKE WORTH, FL 334616606

    Phone:

    Type: Mailing

  • 1417 BRACE RD

    CHERRY HILL, NJ 080343524

    Phone: (561) 318-4409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240718000100OOpioid Treatment Program (Otp)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33461)

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Reviews

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Frequently asked questions

How is SUNRISE DETOX CHERRY HILL LLC identified in CMS data?
CMS-hosted NPPES data lists SUNRISE DETOX CHERRY HILL LLC with NPI 1295110179.
Can I rely on SUNRISE DETOX CHERRY HILL LLC being an active provider?
As of the registry snapshot, SUNRISE DETOX CHERRY HILL LLC is marked active.
What is SUNRISE DETOX CHERRY HILL LLC's specialty?
The listing groups SUNRISE DETOX CHERRY HILL LLC with Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where is SUNRISE DETOX CHERRY HILL LLC based?
SUNRISE DETOX CHERRY HILL LLC is tied to Lake Worth, Florida in the data we show; additional addresses may exist on the full record.
Why does SUNRISE DETOX CHERRY HILL LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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