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SHORE BEHAVIORAL LLC
NPI 1053080663
Clinic/Center - Rehabilitation, Substance Use Disorder in Indianapolis, IN

Active since September 08, 2021
4102 SHORE DR, INDIANAPOLIS, IN 46254(513) 489-7100 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shore Behavioral Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORE BEHAVIORAL LLC (NPI 1053080663) is a healthcare organization registered as a rehabilitation, substance use disorder in Indianapolis, Indiana and active in the NPI registry since September 2021. The organization lists Isaac Rosedale, President, as its authorized official.

NPPES Registry Identity

NPI1053080663
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSHORE BEHAVIORAL LLC
Location Address4102 SHORE DRIndianapolis, IN 46254-2608
Mailing Address4700 Ashwood Dr Ste 200Blue Ash, OH 45241-2424
Phone(513) 489-7100
Organization SubpartNo
Authorized OfficialIsaac RosedalePresident · (513) 489-7100
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1053080663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4102 SHORE DR, Indianapolis, IN 46254
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN NICOLE MELANDER M.A. CCC-SLP
Speech-Language Pathologist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
YOLANDA CARRIE JONES MSW, LSW
Social Worker
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (328) 027-0017
JERRY JONES PTA
Physical Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
NOELLE HORAN
Registered Nurse
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 280-2700
MRS. PAULA ELIZABETH ADAMS COTA
Occupational Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
JULIET UJUNWA CHINWEZE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 280-2718
LYNX INDIANA LLC
Ambulance
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
JYOTHSNA VANGURU PT
Physical Therapist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shore Behavioral LLC's NPI number?

The NPI number for Shore Behavioral LLC is 1053080663. It was assigned to this organization in the NPPES registry on September 8, 2021.

Where is Shore Behavioral LLC located?

Shore Behavioral LLC is located at 4102 Shore Dr, Indianapolis, IN 46254. The listed phone number is (513) 489-7100.

What is Shore Behavioral LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Shore Behavioral LLC accept?

Health plans from CareSource list Shore Behavioral LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shore Behavioral LLC was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.