SUNRISE DETOX DULUTH, LLC – Substance Abuse Rehabilitation Facility, NPI 1649914813

SUNRISE DETOX DULUTH, LLC is a healthcare provider. based in Lake worth, Florida. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for SUNRISE DETOX DULUTH, LLC is 1649914813

Main info

Organization
Name
SUNRISE DETOX DULUTH, LLC
NPI
1649914813
Phone
(561) 318-4400
Address
2328 10TH AVE N STE 300
Authorized Official
MR. JASON USILTON DIRECTOR OF RCM
Enumeration Date
25 April 2022
Last Update Date
5 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for SUNRISE DETOX DULUTH, LLC

  • 2328 10TH AVE N STE 300

    LAKE WORTH, FL 334616612

    Phone: (561) 318-4400

    Type: Mailing

  • 3390 N BERKELEY LAKE RD NW

    DULUTH, GA 300963006

    Phone: (561) 318-4400

    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: 2025-05-21

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
O20250521003584OClinic/Group PracticeGATBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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

Is there an official ID for SUNRISE DETOX DULUTH, LLC in U.S. healthcare records?
The official identifier for SUNRISE DETOX DULUTH, LLC is NPI 1649914813.
Is there an active status for SUNRISE DETOX DULUTH, LLC?
For scheduling context, SUNRISE DETOX DULUTH, LLC is shown as active in the registry.
What clinical focus is listed for SUNRISE DETOX DULUTH, LLC?
At a glance, SUNRISE DETOX DULUTH, LLC is tied to Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Where in Florida is SUNRISE DETOX DULUTH, LLC registered?
Use Lake Worth, Florida as the headline location for SUNRISE DETOX DULUTH, LLC here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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