SHORELINE RECOVERY CENTER, LLC
NPI 1003322033
Community/Behavioral Health in Encinitas, CA

NPI Status: Active since December 28, 2017

Contact Information

183 CALLE MAGDALENA STE 101
ENCINITAS, CA
ZIP 92024
Phone: (858) 900-5079

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D2146125
  • CLIA Cert. Type: Other - OUTPATIENT BEHAVIORAL HEA
  • CLIA Exp. Date: 03-21-2026

About SHORELINE RECOVERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Shoreline Recovery Center, Llc, a provider established in Encinitas, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003322033 assigned on December 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robert Wilson (Llc Manager/ceo)

NPI
1003322033
Provider Name
SHORELINE RECOVERY CENTER, LLC
Entity Type
Organization
Location Address
183 CALLE MAGDALENA STE 101 ENCINITAS, CA 92024
Location Phone
(858) 900-5079
Mailing Address
1106 2ND ST # 192 ENCINITAS, CA 92024
Mailing Phone
(858) 900-5079
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2017
Last Update Date
04-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT WILSON

Authorized Official Title
LLC MANAGER/CEO
Authorized Official Phone
(858) 900-5079

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2146125
Facility Type
Other - OUTPATIENT BEHAVIORAL HEA
Certificate Effective Date
March 22, 2024
Certificate Expiration Date
March 21, 2026
Laboratory Director
MICHAEL N. MARKOPOULOS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shoreline Recovery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003322033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 2 + 4 + 0 + 6 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003322033.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Marriage & Family Therapist
183 CALLE MAGDALENA STE 101
ENCINITAS, CA 92024
Nurse Practitioner
183 CALLE MAGDALENA STE 101
ENCINITAS, CA 92024
Counselor (Mental Health)
183 CALLE MAGDALENA STE 101
ENCINITAS, CA 92024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003322033, enumerated as an "organization" on December 28, 2017.

The provider is located at 183 CALLE MAGDALENA STE 101 ENCINITAS, CA 92024 and the phone number is (858) 900-5079.

Community/Behavioral Health with taxonomy code 251S00000X.