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

NPI Status: Active since September 08, 2021

Contact Information

4102 SHORE DR
INDIANAPOLIS, IN
ZIP 46254
Phone: (513) 489-7100

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance

About SHORE BEHAVIORAL LLC

This page provides the complete NPI Profile along with additional information for Shore Behavioral Llc, a provider established in Indianapolis, Indiana operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1053080663 assigned on September 2021. The practitioner's primary taxonomy code is 261QR0405X. 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 Isaac Rosedale (President)

NPI
1053080663
Provider Name
SHORE BEHAVIORAL LLC
Entity Type
Organization
Location Address
4102 SHORE DR INDIANAPOLIS, IN 46254
Location Phone
(513) 489-7100
Mailing Address
4700 ASHWOOD DR STE 200 BLUE ASH, OH 45241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2021
Last Update Date
09-08-2021
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ISAAC ROSEDALE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(513) 489-7100

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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 1053080663, 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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 5 → 10 → 1 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 0 + 8 + 0 + 6 + 1 + 2 + 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 1053080663.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Physical Therapist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Speech-Language Pathologist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Occupational Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Physical Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Speech-Language Pathologist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Skilled Nursing Facility
4102 SHORE DR
INDIANAPOLIS, IN 46254
Social Worker
4102 SHORE DR
INDIANAPOLIS, IN 46254
Registered Nurse
4102 SHORE DR
INDIANAPOLIS, IN 46254
Registered Nurse
4102 SHORE DR
INDIANAPOLIS, IN 46254
Physical Therapist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Social Worker (Clinical)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Nurse Practitioner (Psychiatric/Mental Health)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Ambulance
4102 SHORE DR
INDIANAPOLIS, IN 46254
Clinic/Center (Rehabilitation, Substance Use Disorder)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Psychiatric Hospital
4102 SHORE DR
INDIANAPOLIS, IN 46254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053080663, enumerated as an "organization" on September 08, 2021.

The provider is located at 4102 SHORE DR INDIANAPOLIS, IN 46254 and the phone number is (513) 489-7100.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.