Sunrise Detox Orlando LLC
NPI 1790140408 · Mental Illness Community Based Residential Treatment Facility · Orlando, FL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunrise Detox Orlando LLC is a Mental Illness Community Based Residential Treatment Facility organization in Orlando, FL (NPI 1790140408).
Provider details
- NPI number
- 1790140408
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nick Matteo, Cfo(561) 318-4430
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-22
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Sunrise Detox Orlando LLC's NPI number?
- Sunrise Detox Orlando LLC's National Provider Identifier (NPI) is 1790140408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunrise Detox Orlando LLC?
- Sunrise Detox Orlando LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Sunrise Detox Orlando LLC located?
- Sunrise Detox Orlando LLC's practice location on file with NPPES is 2431 Sand Lake Rd, Orlando, FL 32809-7641.
- What is Sunrise Detox Orlando LLC's phone number?
- The practice phone number listed in the NPPES registry for Sunrise Detox Orlando LLC is (855) 876-8648.
- Does Sunrise Detox Orlando LLC accept Medicare?
- Sunrise Detox Orlando LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sunrise Detox Orlando LLC?
- The authorized official listed on Sunrise Detox Orlando LLC's NPPES record is Nick Matteo, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunrise Detox Orlando LLC's NPI active?
- Yes — Sunrise Detox Orlando LLC's NPI (1790140408) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.