1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHORE BEHAVIORAL LLC
NPI 1457022865
Clinic/Center - Rehabilitation, Substance Use Disorder in Indianapolis, IN

Active since September 24, 2021
4102 SHORE DR, INDIANAPOLIS, IN 46254(513) 489-7100 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, May 10, 2024, Sep 24, 2021 (3 updates tracked since 2021).

About Shore Behavioral Llc NPPES

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

SHORE BEHAVIORAL LLC (NPI 1457022865), doing business as Ethan Crossing Addiction Campus Of Indianapolis, 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 Yitzchak Rosedale, President, as its authorized official.

NPPES Registry Identity

NPI1457022865
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSHORE BEHAVIORAL LLC
Location Address4102 SHORE DRIndianapolis, IN 46254-2608
Mailing Address14055 Cedar Rd Ste 200Cleveland, OH 44118-3333 · (513) 926-6914
Phone(513) 489-7100
Organization SubpartNo
Authorized OfficialYitzchak RosedalePresident · (513) 535-9785
Enumeration DateSeptember 24, 2021
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1457022865 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
Open in Google Maps ↗

Other Names 1

Doing Business AsEthan Crossing Addiction Campus Of Indianapolis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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
SHORE BEHAVIORAL LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (513) 489-7100
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

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 1457022865. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is doing business as Ethan Crossing Addiction Campus of Indianapolis.

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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and 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 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.