SUNRISE CHILDREN'S SERVICES (NPI# 1821432394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821432394 |
| Entity Type | Organization |
| Organization Name | SUNRISE CHILDREN'S SERVICES |
| Other Organization Name | GLEN DALE CENTER |
| Practice Address |
1030 Commerce Dr Elizabethtown KY 42701 |
| Mailing Address |
300 Hope St Mt Washington KY 40047-7757 |
| Practice Telephone | 2705061064 |
| Mailing Telephone | 5025381000 |
| Mailing Fax Number | 5025381100 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | MRS. DANIELLE N MERTZ (OPERATIONS ANALYST) |
| Authorized Official Telephone | 5025381000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 500024 | KY | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Glen Dale Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867586 | Sunrise Children's Services | Foster Care Agency | 333 W Dixie Ave, Elizabethtown, KY 42701 | 2013-04-30 |
| 1164867560 | Sunrise Children's Services | Foster Care Agency | 180 Ky Highway 801 N, Morehead, KY 40351 | 2013-04-30 |
| 1417392820 | Sunrise Children's Services | Foster Care Agency | 3032 Alvey Park Dr W Ste 100, Owensboro, KY 42303 | 2013-04-30 |
| 1487098943 | Sunrise Children's Services | Foster Care Agency | 941 Lehman Ave Ste 106, Bowling Green, KY 42101 | 2013-04-26 |
| 1386088847 | Sunrise Children's Services | Foster Care Agency | 2465 Nicholasville Rd Ste C, Lexington, KY 40503 | 2013-04-26 |
| 1770927535 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 2495 Cranston Rd, Morehead, KY 40351 | 2013-04-24 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1417320391 | Sunrise Children's Services | Community/Behavioral Health | 400 Cunningham Way, Danville, KY 40422 | 2015-11-02 |
| 1720456403 | Sunrise Children's Services | Community/Behavioral Health | 123 Weddington Branch Rd, Pikeville, KY 41501 | 2015-09-11 |
| 1699166561 | Sunrise Children's Services | Foster Care Agency | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2015-02-12 |
| Street Address |
1030 COMMERCE DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613917 | Steven D. Middleton | Psychologist | 1030 Commerce Dr, Elizabethtown, KY 42701-1281 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780027656 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 854 Tunnel Hill Church Road, Elizabethtown, KY 42701 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295108553 | St Joseph Peace Mission for Children | Residential Treatment Facility, Emotionally Disturbed Children | 1328 W 3rd St, Owensboro, KY 42301-1901 | 2015-11-09 |
| 1346652476 | New Pathways for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3311 Shaw Rd, Melber, KY 42069-8738 | 2014-05-23 |
| 1770927535 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 2495 Cranston Rd, Morehead, KY 40351 | 2013-04-24 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1487936449 | Florence Crittenton Home | Residential Treatment Facility, Emotionally Disturbed Children | 519 W Fourth St, Lexington, KY 40508-1205 | 2011-09-15 |
| 1851435705 | Bellewood Presbyterian Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 11103 Park Rd, Louisville, KY 40223-2424 | 2007-02-16 |
| 1912089863 | Home of The Innocents | Residential Treatment Facility, Emotionally Disturbed Children | 1100 E. Market St., Louisville, KY 40206 | 2006-10-19 |
| 1699710798 | Campbell Lodge Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 5161 Skyline Dr, Highland Heights, KY 41076-3545 | 2006-06-20 |
| 1891038493 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 New Start Rd, Bronston, KY 42518 | 2013-04-02 |
| 1386979615 | Children's Home of Northern Kentucky | Residential Treatment Facility, Emotionally Disturbed Children | 200 Home Rd, Covington, KY 41011 | 2009-10-05 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.